patho

profileomozele

74-year-old male with a history of hypertension  and smoking, is having dinner with his wife when he develops sudden  onset of difficulty speaking, with drooling from the left side of his  mouth, and weakness in his left hand. His wife asks him if he is all  right and the patient denies any difficulty. His symptoms progress over  the next 10 minutes until he cannot lift his arm and has trouble  standing. The patient continues to deny any problems. The wife sits the  man in a chair and calls 911. The EMS squad arrives within 5 minutes.  Upon arrival in the ED, patient‘s blood pressure was 178/94, pulse 78  and regular, PaO2 97% on room  air. Neuro exam - Cranial nerves- Mild left facial droop. Motor- Right  arm and leg extremity with 5/5 strength. Left arm cannot resist gravity,  left leg with mild drift. Sensation intact. Neglect- Mild neglect to  left side of body. Language- Expressive and receptive language intact.

Mild to moderate dysarthria. Able to protect airway.

    • 4 years ago
    • 10
    Answer(1)

    Purchase the answer to view it

    blurred-text
    NOT RATED
    • attachment
      AnswerDocument.docx