Final answer:
The additional condition and symptom that will affect the care are pins and needles sensation in the left arm and leg and trouble feeling the tip of a pen. Tests such as a CT scan, blood tests, and nerve conduction studies might be ordered to diagnose the problem. Treatment options might include aspirin therapy, physical therapy, and pain medication.
Step-by-step explanation:
The note that is going to identify an additional condition and an integral symptom that will affect the care is the presence of pins and needles sensation in the left arm and leg and the trouble feeling the tip of a pen when touched on those limbs. These symptoms suggest a problem with the sensory systems between the spinal cord and the brain.
To determine the cause and confirm the diagnosis, the doctor might order tests such as a CT scan to check for any structural abnormalities in the brain or spinal cord, blood tests to check for any underlying medical conditions, and nerve conduction studies to assess the function of the sensory nerves.
Based on the diagnosis, the doctor might recommend treatment options such as aspirin therapy to prevent blood clots and improve blood flow, physical therapy to improve muscle strength and function, and pain medication to alleviate discomfort.