case 3
Case Study 3
A 50-year-old African American male presents with complaints of dizziness left arm weakness and fatigue. PMH: poorly controlled diabetes, hypertension, hyperlipidemia PE: Upon exam, you noted a very mild dysarthria, he understands and follows commands very well. Mild weakness on the left side of the face is noted, and left sided homonymous hemianopsia but no ptosis or nystagmus or uvula deviation.
· Reflect on the provided patient information including history and physical exams.
· Think about a differential diagnosis. Consider the role the patient history and physical exam played in your diagnosis.
· Reflect on potential treatment options based on your diagnosis.
This week, as you explore neurologic disorders, you examine stroke prevention methods for select patient populations.
Learning Objectives
By the end of this week, students will:
· Assess differential diagnoses for patients with neurological disorders
· Analyze the role of patient information in differential diagnosis for neurological disorders
· Evaluate the patient treatment options for neurological disorders
· Understand and apply key terms, concepts, and principles related to neurological disorders
· Analyze pattern recognition in patient diagnoses
Required Readings
Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2017). Primary care: A collaborative practice (5th ed.). St. Louis, MO: Elsevier.
· Part 19, “Evaluation and Management of Multisystem Disorders”
· Chapter 227, “Sleep Disorders” (pp. 1209-1217)
This chapter differentiates between normal sleep from abnormal sleep and identifies the epidemiology, clinical presentation, and management of sleep disorders.
· Part 16, “Evaluation and Management of Neurologic Disorders” (pp. 999-1070)
This part explores the evaluation process of neurologic disorders. It then covers the pathophysiology, clinical presentation, diagnostic criteria, and complications of neurologic disorders.
Lawrence, M., Fraser, H., Woods, C., & McCall, J. (2011). Secondary prevention of stroke and transient ischemic attack. Nursing Standard, 26(9), 41–46.
This article examines risk factors for stroke and explores prevention methods for patients at high risk of suffering from strokes.
Lawrence, M., Kerr, S., Watson, H. E., Jackson, J., & Brownlee, M. G. (2009). A summary of the guidance relating to four lifestyle risk factors for recurrent stroke. British Journal of Neuroscience Nursing, 5(10), 471–476.
This article explores lifestyle and behavioral risk factors for stroke. It also describes the role of nurses in educating patients about stroke prevention.
Perry, M. (2012). Stroke prevention. Practice Nurse, 42(8), 14–18.
This article identifies patient risk factors for strokes. It also explores patient prevention and education methods to lower the prevalence of the disorder.
National Institute of Health. (n.d.). National institute of neurological disorders and stroke. Retrieved November 1, 2012, from http://www.ninds.nih.gov/index.htm
This website provides information about neurological disorders and strokes, as well as potential causes, prevention strategies, diagnosis, and treatment of these disorder