Neurological Case Study

Neurological Case Study

1 . Define stroke . Describe the differences between ischemic and hemorrhagic stroke

Stroke : It is defined as failure of the heart to meet the body demands of adequate circulation for its metabolizing tissues

Ischemia stroke arises when the blood flow to the tissue is so low that adequate oxygen is not delivered to them despite a normal arterial pO2 and hemoglobin concentration

Hemorrhagic stroke is the loss of more than 30-40 blood volume which results in a fall in blood pressure and gross hypoperfusion of the tissues leading

to hemorrhagic stroke

2 . What are the factors that place an individual at risk for stroke

Infections especially pulmonary are known to precipitate stroke putting extra load on the heart

Severe anemia

Pulmonary embolism

Pregnancy in a women with already existing valvular heart disease

Myocarditis

Bacterial endocarditis

Hypertension

Massive acute myocardial infarction

Rapid and excessive fluid loss /blood transfusion

Physical and emotional stress

Thyrotoxicosis

3 . What specific signs and symptoms that are noted in the patient 's exam and history that are consistent with her diagnosis

History of hypertension

Weakness on the right side involving the right arm and leg

Dysarthria and tongue deviation

The patients age

Present dizziness

Provisional diagnosis : Transient ishemic attack with supranuclear cranial (12th nerve ) palsy

4 . Which symptoms from above may place the patient at nutritional risk Explain your rationale

The patient is hypertensive hence the diet and salt intake should be monitered , diet of low carbohydrate and low fat is advised . The patient has...