Jason Rhodes Flashcards
Rt TIA with Carotid Artery Stenosis
Open Statement
I am here because yesterday I developed sudden numbness and weakness in my right arm and the right side of my face is drooped
What areas of the body do you notice the numbness?
1) Right Side of Face
2) Right Arm
What area are involved drooping?
Right Side of Face
What area involved weakness
Right Arm
Effects of Speech
Slurred words were spoken
Any associated pain
No
How long did the episode of represented symptoms last
15 minutes
Aggravating Factor
None
Alleviating Factor
None
Did the slurred speech improve overtime
improve and gone after 15 minute
Did numbness/weakness in the right arm and drooping went away
It went away after 15 minute
Any double vision or changes in vision
No
Any syncope or episodes of passing out
No
Any paralysis of right arm
No
Any lower extremities affected
No
Any history of similar symptoms
No
Any allergies
No
Any hypertension
Yes
Medication for Hypertension
atenolol and hydrochlorothiazide
Any diabetes (diabetes mellitus)
Yes
Medication for diabetes
Metformin
Any hospitalization
No
Any past surgeries
No
What did you do for work
Clerk
Are you married
Yes
Do you have medical insurance
Yes
Do you have any social support
Yes I lived at home with my wife
Do you drink alcohol
No
Do you do illicit drugs (cocaine, marijuana, heroin, etc.)?
No
Did you smoke?
Smoke 1- 2 pack of cigarettes a day
How long did you smoke?
40 years
Family Hx
Mother (living, age 82 and hypertension)
Father (deceased, age 62, had a stroke and then heart attack)
2 brothers (64, 59, healthy)
Examination of Neck
Soft, tender, no masses, soft bruit heard of left side below the mandible
Pulses
Femoral, popliteal, posterior tibial, dorsal pedal pulse: +2/4+ and equal No abdominal aortic aneurysm, femoral artery aneurysm, or popliteal artery aneurysm
Lung
No difficulty breathing, no coughing or wheezing
Heart
Heartbeats are normal, no heart murmurs
Presenting Complaint
60-year-old male patient with transient sudden onset of numbness in the right arm, slurred speech, and right facial drooping