Jason Rhodes

Question 1

Open Statement

Answer 1

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

Question 2

What areas of the body do you notice the numbness?

Answer 2

1) Right Side of Face
2) Right Arm

Question 3

What area are involved drooping?

Answer 3

Right Side of Face

Question 4

What area involved weakness

Answer 4

Right Arm

Question 5

Effects of Speech

Answer 5

Slurred words were spoken

Question 6

Any associated pain

Answer 6

No

Question 7

How long did the episode of represented symptoms last

Answer 7

15 minutes

Question 8

Aggravating Factor

Answer 8

None

Question 9

Alleviating Factor

Answer 9

None

Question 10

Did the slurred speech improve overtime

Answer 10

improve and gone after 15 minute

Question 11

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

Answer 11

It went away after 15 minute

Question 12

Any double vision or changes in vision

Answer 12

No

Question 13

Any syncope or episodes of passing out

Answer 13

No

Question 14

Any paralysis of right arm

Answer 14

No

Question 15

Any lower extremities affected

Answer 15

No

Question 16

Any history of similar symptoms

Answer 16

No

Question 17

Any allergies

Answer 17

No

Question 18

Any hypertension

Answer 18

Yes

Question 19

Medication for Hypertension

Answer 19

atenolol and hydrochlorothiazide

Question 20

Any diabetes (diabetes mellitus)

Answer 20

Yes

Question 21

Medication for diabetes

Answer 21

Metformin

Question 22

Any hospitalization

Answer 22

No

Question 23

Any past surgeries

Answer 23

No

Question 24

What did you do for work

Answer 24

Clerk

Question 25

Are you married

Answer 25

Yes

Question 26

Do you have medical insurance

Answer 26

Yes

Question 27

Do you have any social support

Answer 27

Yes I lived at home with my wife

Question 28

Do you drink alcohol

Answer 28

No

Question 29

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

Answer 29

No

Question 30

Did you smoke?

Answer 30

Smoke 1- 2 pack of cigarettes a day

Question 31

How long did you smoke?

Answer 31

40 years

Question 32

Family Hx

Answer 32

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

Question 33

Examination of Neck

Answer 33

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

Question 34

Pulses

Answer 34

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

Question 35

Lung

Answer 35

No difficulty breathing, no coughing or wheezing

Question 36

Heart

Answer 36

Heartbeats are normal, no heart murmurs

Question 37

Presenting Complaint

Answer 37

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