A 55 year old man who is overweight, a heavy drinker and habitual smoker is brought in to the emergency department after he appeared confused and was slurring his speech at his workplace. Given the patient's lifestyle, the doctors suspect an ischemic stroke and immediately arrange for a scan to aid in the diagnosis. Discuss which imaging modality the doctor might use to establish if the patient had suffered a stroke and give reasons for your choice. Describe the physical principles behind the imaging technique you have chosen. [8]
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- "Nursing"_Patient X had a malignant duodenal tumor that was removed. The surgeon removed the whole duodenum. Predict the long-term consequences for Patient X after recovery.You are being dispatched for a report of a possible stroke. You arrive at a modest private residencewhere you and your partner are met by a woman identifying herself as the patient’s wife.She informs you the patient is in the basement and begins to lead the way. As she escorts youdownstairs, she says, “We had both been taking a nap. I woke up about 15 minutes ago and he wasalready awake sitting on the couch, but he wouldn’t answer my questions.”Once in the basement, you find an approximate 49-year-old male patient who is conscious and seatedon the couch. You estimate him to be over 6 feet tall, weighing roughly 240 pounds and you observe heseems to be favoring his left hand and has a slight offset to one side of his mouth.The patient is not drooling and seems to be swallowing easily. You do not see any evidence ofrespiratory distress or an inability to protect his airway. He is calm but makes no attempt to speak andcan follow commands.You attempt to obtain a SAMPLE history by using…A 35 year old male presents to the ER with left side facial droop. His symptoms started 5 hours ago and were noticed by his coworkers. He reports no significant personal or family history. He was sick with flu like symptoms two week previous but has since recovered without any lasting deficit. As a clinician you need to quickly assess your patient for a stroke or possibly a Bell’s palsy. To determine a differential diagnosis, what would be the best question to ask this patient to get a preliminary idea of what we are looking at? raise and lower your eyebrows stick out your tongue smile wide (show your teeth) puff out your cheeks Select your answer and give your reasoning.
- J. B. is a 77-year-old man who is known to your practice. He is brought in today by his daughter, who reports a new onset of confusion accompanied by UI (first noticed bed was wet a few nights ago). When you see the patient today, he is oriented to place and person (knows you and your office), but not to time, and does not recall much about events of the past few days. He says that he is eating and drinking as usual (but daughter is shaking her head to the contrary). He denies any change in bowel function, but is fearful of sleeping because he might “wet the bed.” Daughter states that he has been drinking a lot more water than usual and urinating more frequently. He denies any pain, other than arthritis. He was a regular attendee at the local senior center but has not been there for a week and seems to have forgotten about it. Past medical history: Known CAD, hypertension, hyperlipidemia, impaired fasting glucose, osteoarthritis of knees. Medications: Lisinopril 20 mg orally PO once…When transcribing the neurologic review of systems, you hear the following sentence: "No dizziness, seizures, or (aphagia/aphasia)." Which word must be transcribed and why?1.)You are being dispatched for a report of a possible stroke. You arrive at a modest private residence where you and your partner are met by a woman identifying herself as the patient’s wife. She informs you the patient is in the basement and begins to lead the way. As she escorts you downstairs, she says, “We had both been taking a nap. I woke up about 15 minutes ago and he was already awake sitting on the couch, but he wouldn’t answer my questions.” Once in the basement, you find an approximate 49-year-old male patient who is conscious and seated on the couch. You estimate him to be over 6 feet tall, weighing roughly 240 pounds and you observe he seems to be favoring his left hand and has a slight offset to one side of his mouth. The patient is not drooling and seems to be swallowing easily. You do not see any evidence of respiratory distress or an inability to protect his airway. He is calm but makes no attempt to speak and can follow commands. You attempt to obtain a SAMPLE…
- When transcribing the neurologic review of systems, you hear the following sentence "No dizziness, seizures, or (aphagia/aphasia)." Which word be transcribed and why?Paramedics When the ambulance arrived, Zac had a GCS of 15 and could recall the whole incident. Zac appeared to have no other injuries. The paramedics undertook vital signs which they stated were ‘normal’ and applied a bandage to Zac’s head wound. The security guard stated that he ‘didn’t think Zac lost consciousness’. Triage 18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm occipital laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to…Paramedics When the ambulance arrived, Zac had a GCS of 15 and could recall the whole incident. Zac appeared to have no other injuries. The paramedics undertook vital signs which they stated were 'normal' and applied a bandage to Zac's head wound. The security guard stated that he 'didn't think Zac lost consciousness'. Triage 18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs. Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions. On examination, 4cm occipital laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries. Patient denies drug use, states has had approximately 'five beers since 7pm'. Breath alcohol taken at 2330 hours 0.06%. Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to…
- What are the nursing considerations for a patient undergoing a MRI scan?The co-anchor for a local television station newscast comes to a clinic for a blood test. The phlebotomist recognizes her immediately. They have a pleasant conversation while the phlebotomist draws the speci- men. Later that evening the phlebotomist says to her husband, “Guess who I drew today?” She then pro-ceeds to tell him the co-anchor’s name, adding,“She is probably bipolar because I drew a lithium level on her.” Questions1. What mistake did the phlebotomist make? 2. What law was violated by her actions? 3. What legal action could result?I need clarification of why patients with Werneicke's aphasia have as much difficulty reading and writing as they do speaking and understanding Speech?