Question

Case study A 78-year-old 84.1 kg white man presents to the emergeney department with weakness in his left arm and leg and difficulty speaking. His symptoms began approximately 2 hours ago, prompting his wife to call the paramedies. His past medical history is significant for hypertension, dyslipidemia, and a previoas stroke 2 years ago. He experienced a transient ischemic attack I week ago, but did not seek medical care. Social history is significant for moderate alcohol use and cigarette smoking half pack per day for the past 50 years. Current medications include perindopril 4 mg once daily, simvastatin 40 mg daily, aspirin 81 mg daily and a multivitamin tablet once daily. What signs and symptoms does the patient have that are uggestive of stroke? What non-modifiable and modifiable risk factors does he have for acute ischemic stroke? • Is he eligible to thrombolysis treatment?

Answer 1

The following signs are suggestive of stroke= weakness in his left arm and leg and difficulty speaking

The non-modifiable and modifiable risk factors are as below= hypertension, dyslipidemia, and a previous stroke 2 years ago, recent transient ischemic and moderate alcohol use, and cigarette smoking a half pack per day for the past 50 years.

No, the patient is not eligible for thrombolysis treatment as he recently experienced a transient ischemic stroke and the patients with transient ischemic stroke within 3 weeks cannot have this treatment.