Question

Tony G. is a 41 year-old, black male who lives in Mississippi. He is a bank vice-president brought to the emergency room by co-workers in mid-afternoon because of a sudden and rapidly worsening paralysis of his right arm and hand, slurring of speech followed by an inability to speak. The patient was reported to be in generally good health, although he had suffered a mild myocardial infarction about two years previously. Tony, refusing surgery, was admitted to the Neurology Service where his speech improved considerably over the first two weeks, but his paralysis remained basically unchanged. He is undergoing physical therapy.

Please respond to each of the following in your reply:

1. Identify ALL of the risk factors involved for developing a stroke that Tony has.
2. Name the type of cerebral vascular disease that Tony experienced and what led you to this conclusion.
3. Looking at his manifestations, what would lead you to believe he had multiple emboli?
4. Although it is always important, why is it especially important to monitor Tony during the days immediately following the event?
5. It is crucial for clinicians to determine ASAP whether the stroke is an ischemic stroke or hemorrhagic stroke. What would be the major difference in the immediate treatments of these two types of stroke?  

Answer 1

#. All the risk factors involved for developing a stroke :-

- Ethinicity ( Black )

- Heart disease ( myocardial infarction )

- age ( above 40)

#. The type of cerebral vascular disease that Tony has experienced is stroke because the sign and symptoms with which Tony came resembles the same .

#. The signs and symptoms of aphasia and paralysis of right arm indicates that there are multiply emboli.

#. It is important to monitor Tony during the days immediately following the event to avoid deteriorating of the condition and prevent the complications .

#. The major difference in the immediate treatments of embolic stroke and ischemic stroke is in ischemic strokes.we use blood thinners while treatment for hemorrhagic strokes doesn’t involve blood thinners. This is because thinning your blood would cause the bleeding in your brain to become worse.