Jason Rhodes Flashcards

Rt TIA with Carotid Artery Stenosis

1
Q

Open Statement

A

I am here because yesterday I developed sudden numbness and weakness in my right arm and the right side of my face is drooped

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2
Q

What areas of the body do you notice the numbness?

A

1) Right Side of Face
2) Right Arm

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3
Q

What area are involved drooping?

A

Right Side of Face

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4
Q

What area involved weakness

A

Right Arm

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5
Q

Effects of Speech

A

Slurred words were spoken

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6
Q

Any associated pain

A

No

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7
Q

How long did the episode of represented symptoms last

A

15 minutes

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8
Q

Aggravating Factor

A

None

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9
Q

Alleviating Factor

A

None

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10
Q

Did the slurred speech improve overtime

A

improve and gone after 15 minute

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11
Q

Did numbness/weakness in the right arm and drooping went away

A

It went away after 15 minute

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12
Q

Any double vision or changes in vision

A

No

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13
Q

Any syncope or episodes of passing out

A

No

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14
Q

Any paralysis of right arm

A

No

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15
Q

Any lower extremities affected

A

No

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16
Q

Any history of similar symptoms

17
Q

Any allergies

18
Q

Any hypertension

19
Q

Medication for Hypertension

A

atenolol and hydrochlorothiazide

20
Q

Any diabetes (diabetes mellitus)

21
Q

Medication for diabetes

22
Q

Any hospitalization

23
Q

Any past surgeries

24
Q

What did you do for work

25
Q

Are you married

26
Q

Do you have medical insurance

27
Q

Do you have any social support

A

Yes I lived at home with my wife

28
Q

Do you drink alcohol

29
Q

Do you do illicit drugs (cocaine, marijuana, heroin, etc.)?

30
Q

Did you smoke?

A

Smoke 1- 2 pack of cigarettes a day

31
Q

How long did you smoke?

32
Q

Family Hx

A

Mother (living, age 82 and hypertension)
Father (deceased, age 62, had a stroke and then heart attack)
2 brothers (64, 59, healthy)

33
Q

Examination of Neck

A

Soft, tender, no masses, soft bruit heard of left side below the mandible

34
Q

Pulses

A

Femoral, popliteal, posterior tibial, dorsal pedal pulse: +2/4+ and equal No abdominal aortic aneurysm, femoral artery aneurysm, or popliteal artery aneurysm

35
Q

Lung

A

No difficulty breathing, no coughing or wheezing

36
Q

Heart

A

Heartbeats are normal, no heart murmurs

37
Q

Presenting Complaint

A

60-year-old male patient with transient sudden onset of numbness in the right arm, slurred speech, and right facial drooping