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Title: can someone help me with this case study question? Post by: linabdtb2 on Mar 25, 2012 A 68 year old African-American male is transported to the ER with rapid onset left sided weakness. He was watering his lawn when he suddenly dropped the hose and fell to the ground. His speech was slurred when EMS personnel arrived. The man has a history of high blood pressure and hypercholesterolemia. His exam shows left facial areflexia and drooping. CT scan of the head shows no hemorrhage.
Title: Re: can someone help me with this case study question? Post by: bio_man on Mar 25, 2012 All you've provided is a description, what is the question?
Title: Re: can someone help me with this case study question? Post by: linabdtb2 on Mar 25, 2012 It asks for the following:
1. What is the diagnosis? 2. What is the likely location of the pathology in this instance? 3. What are the risk factors for this condition? 4. What are the possible mechanisms of the pathology in this case? 5. Which is the more likely mechanism of the pathology in this case? 6. What is the underlying problem in this case? 7. How did the underlying problem lead to this incident? I was thinking a stroke or Bells palsy but I am not sure or ITV Title: Re: can someone help me with this case study question? Post by: linabdtb2 on Mar 25, 2012 Not TIV but TIA
Title: Re: can someone help me with this case study question? Post by: linabdtb2 on Mar 25, 2012 I am going with an Ischemic Stroke, I got 1, 3, 6 and 7 of the questions. I am unsure of 2, 4 and 5
Title: Re: can someone help me with this case study question? Post by: linabdtb2 on Mar 25, 2012 1. What is the diagnosis? Ischemic Stroke
2. What is the likely location of the pathology in this instance? In his brain, it could be in his brain stem or his left hemisphere because both controls speech. It is a little tricky because he has left side weakness and this would be controlled by his right hemisphere. 3. What are the risk factors for this condition? Hypercholesterolemia, high blood pressure, atrial fibrillation, diabetes, family history of stroke, increasing age (especially above 55), and race (black people are more likely to die of stroke). 4. What are the possible mechanisms of pathology in this case? Thrombotic stroke and embolic stroke 5. Which is the more likely mechanism of the pathology in this case? Thrombotic stroke 6. What is the underlying problem in this case? Hypercholesterolemia and high blood pressure 7. How did the underlying problem lead to this incident? The high cholesterol can build up in an artery and cause a blockage in the artery. High Blood pressure/hypertension can lead to the thickening of the arterial walls/narrowing the passageway WOULD THESE BE A GOOD ANSWER FOR EACH? Title: Re: can someone help me with this case study question? Post by: jtindel on Mar 25, 2012 it is an Ischemic Stroke
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