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Purdue Global University *
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111
Subject
Medicine
Date
Jan 9, 2024
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docx
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Catherine Williams, a 67-year-old Caucasian female, was brought to XYZ Medical Center on
1/19/2015 for dysphasia, dysphagia, and right hemiparesis. She has a history of hypertension and
high cholesterol and takes medications daily. According to her husband, Ms. Williams began
experiencing symptoms 1 ½ hours prior to being admitted. These symptoms included right facial
drooping, cephalgia, and difficulty with coordination and speech. She also experienced ataxia,
dysphagia, and dysarthria, leading to a rapid decline in her condition.
Physical examination upon admission showed that Ms. Williams was alert and oriented x 2, with
mild confusion. Gait was unable to be assessed due to hemiparesis, and unequal grips were
noted. She also exhibited a sluggish right pupil and flaccidity in her right lower extremity. Her
vital signs showed a blood pressure of 180/92 mm Hg, a pulse rate of 78, and a respiratory rate
of 18. A chest radiograph, urinalysis, complete blood count, partial thromboplastin time, basic
chemistry panel, and arterial blood gas analysis were all performed. The arterial blood gas
analysis revealed low oxygen saturation. A CT scan performed indicated no intracerebral
hemorrhage, and a neurology consultation was requested. The neurologist confirmed the
diagnosis of an ischemic stroke after an MRI of the brain revealed an ischemic area in the left
cerebral cortex caused by a cerebral embolism.
Based on the diagnosis, the treatment plan for Ms. Williams was initiated promptly. She received
Alteplase, a thrombolytic medication given intravenously, and was transferred to the Intensive
Care Unit. Neuro checks were scheduled every 2 hours to monitor her condition closely.
However, on the second day of her hospitalization, she developed hypotension, necessitating
additional medical attention.
Ischemic strokes, like the one experienced by Ms. Williams, occur when a blood vessel
supplying blood to the brain is obstructed by a blood clot. This interruption in blood flow can
lead to brain tissue damage and subsequent neurological deficits. Alteplase, the medication
administered to her, works to dissolve blood clots and restore blood flow to the affected area of
the brain. In cases of ischemic stroke, timely administration of Alteplase is crucial in improving
patient outcomes and reducing the risk of long-term disability.
In conclusion, Ms. Williams' case underscores the importance of recognizing the signs and
symptoms of stroke, as well as the swift and efficient provision of treatment. Through the
collaborative efforts of the medical team at XYZ Medical Center, she received timely and
appropriate care, which will increase her chances of recovery and minimize potential
complications. Moving forward, close monitoring and continued medical interventions will be
essential in her rehabilitation process. As the healthcare team continues to manage her condition,
the focus will be on addressing her immediate medical needs and implementing a plan for
ongoing care to support her recovery. With proper medical interventions and attentive care, Ms.
Williams has the potential to make significant progress in her journey towards improved health
and well-being.
Throughout the years, the field of medicine has made significant advancements in the
understanding and treatment of various medical conditions. As a result, medical centers across
the globe have been able to provide high-quality care to patients in need. One such medical
center is the XYZ Medical Center located at 7777 North West Street, Michigan 12345.
On January 19, 2015, the XYZ Medical Center admitted a 67-year-old Caucasian female named
Catherine Williams. Ms. Williams was brought to the hospital via an ambulance due to
symptoms of dysphasia, dysphagia, and right hemiparesis. It was reported that she has a history
of hypertension and high cholesterol, and she was taking medication for these conditions. Prior
to her admission, Ms. Williams experienced a sudden onset of right facial drooping, cephalgia,
and difficulty in drinking her coffee without spilling it down her face. Additionally, she was
experiencing ataxia, dysphagia, and dysarthria.
Upon examination, it was noted that Ms. Williams was alert and oriented but displayed mild
confusion. Her right pupil was sluggish to respond to light, and her right lower extremity was
flaccid. Further medical tests, including a CT scan and MRI of the brain, confirmed a diagnosis
of an ischemic stroke caused by a cerebral embolism.
In response to this diagnosis, the medical team at XYZ Medical Center initiated a treatment plan
for Ms. Williams. She was administered Alteplase, a thrombolytic medication, intravenously to
dissolve the blood clot causing the stroke. Additionally, Mannitol, a diuretic medication, was
started intravenously to reduce the swelling in her brain. Ms. Williams was then transferred to
the Intensive Care Unit (ICU) where she was closely monitored with neuro checks every 2 hours.
Unfortunately, on the second day of her hospitalization, Ms. Williams developed hypotension.
This complication required medical intervention to stabilize her blood pressure and ensure her
overall well-being.
The care provided to Ms. Williams at the XYZ Medical Center exemplifies the expertise and
dedication of the medical professionals at the facility. The prompt diagnosis and treatment of her
ischemic stroke demonstrate the center's commitment to delivering high-quality medical care,
even in the face of complex and critical conditions. The medical team's swift response and
comprehensive approach to Ms. Williams' condition reflect the XYZ Medical Center's dedication
to patient-centered care and the use of evidence-based treatment protocols.
In conclusion, the case of Ms. Williams at the XYZ Medical Center serves as a prime example of
the critical role that medical centers play in the healthcare system. Their ability to assess,
diagnose, and treat complex medical conditions, such as ischemic stroke, highlights the impact
that top-tier medical facilities have on patient outcomes. Through their expertise and advanced
medical interventions, medical centers like XYZ Medical Center are able to provide life-saving
care to those in need. As we continue to advance in the field of medicine, these centers will
undoubtedly remain pillars of hope and healing for patients across the globe.
The XYZ Medical Center is a leading healthcare facility located at 7777 North West Street,
Michigan. The medical center provides comprehensive care to patients with a wide range of
medical conditions. On January 19, 2015, Catherine Williams, a 67-year-old Caucasian female,
was admitted to the hospital with symptoms of dysphasia, dysphagia, and right hemiparesis. This
progress note outlines the findings from the initial assessment, the diagnosis, and the treatment
plan for Ms. Williams.
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