Cva Ischemic Stoke

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CVA Patients Profile Patient name: ABC Age: 32 yrs. Old Sex: Male Date of Admission: February 07, 2013 Admitting diagnosis: CVA prob. Thromboembolic Infarct GCS: 11 (Lethargic) V/S taken as follows: BP= 110/80 mmHg RR= 24 CPM PR= 82 BPM Temperature= 38.0 ͦC Patient’s History * Past medical history of Bell’s Palsy * Mild Stoke Introduction Cerebrovascular accident (CVA) or Stroke, is the rapid loss of brain function due to disturbance in the blood supply to the brain. This can be due to ischemia (lack of blood flow) caused by blockage (thrombosis, arterial embolism), or a hemorrhage. As a result, the affected area of the brain cannot function, which might result in an inability to move one or more limbs…show more content…
These findings most likely to lead to the correct identification of a case of stroke increasing the likelihood when at least one of these is present. While these findings are not perfect for diagnosing stroke, the fact that they can be evaluated relatively rapidly and easily make them very valuable in the acute setting. ROSIER (recognition of stroke in the emergency room) Is a scoring system, based on features from the medical history and physical examination. For people referred to the emergency room, early recognition of stroke is deemed important as this can expedite diagnostic tests and treatments. Clinical Manifestation * Numbness or weakness of the face, arm, or leg, especially on one side of the body (Hemiparesis) * Confusion or change in mental status * Trouble speaking or understanding speech (Aphasia, Dysarthria) * Visual disturbances/ visual field deficits * Difficulty walking, dizziness, or loss of balance or coordination * Sudden severe headache Visual Field deficits * Homonymous hemianopsia * Loss of peripheral vision * Diplopia Motor Deficits * Hemiparesis * Hemiplegia * Ataxia * Dysarthria * Dysphagia Sensory Deficits * Paresthesia (occurs on the side opposite the lesion) Verbal Deficits * Expressive aphasia * Receptive aphasia Cognitive Deficits * Short and long-term memory loss * Decreased attention span * Impaired ability to concentrate *
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