Stroke: Case Study: Difference between revisions

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== Introduction  ==
== Introduction  ==
This case study forms part of the Stroke Course


== History of Presenting Condition<br>  ==
== History of Presenting Condition<br>  ==
Michael is a 61 year old Senior Partner in a Law Firm. While eating breakfast Michael experienced sudden onset slurring of speech, had facial droop on his left hand side with weakness in left side upper and lower limbs.
Michael's wife Mary spotted these sudden onset of symptoms and called for the ambulance which arrived within 15 mins.


== Past Medical History <br>  ==
== Past Medical History <br>  ==


== Medication History ==
Asthma - Dx Aged 8
 
Hypertension Grade 1 - Dx 5 years ago
 
Prediabetes - Dx 3 years ago
 
== Medication History ==
 
Seretide&nbsp;Accuhaler
 
Ventolin (As Required - Not Required for over 1 Year)
 
Thiazide


== Social History  ==
== Social History  ==


== Initial Medical Assessment<br>  ==
61 Year Old Senior Partner at a Law Firm, recently reduced working hours 20 - 30 hours per week, previously worked 50 - 60 Hours
 
Planning on retirement in 1 - 2 years
 
Lives in a Bungalow with his wife Mary, who is a recently Retired Teacher.
 
2 Adult Children, both married with their own children - 1 lives close by, the other lives overseas.
 
Lifestyle Changes implmented over past 2 - 3 Years foloowing Dx Prediabetes.
 
Outside work he enjoys golf, usually playing at least 2-3 per week. Also enjoys playing Bridge with Friends.
 
Took up walking 3 Years ago following Dx Prediabetes. Walks 5 - 6 days per week for between 30 - 45 mins
 
Ex-Smoker -&nbsp;Hx Smoking 30 Years x 10 - 15/day - Quit 3 Years ago&nbsp;following Dx Prediabetes
 
Social Beer Drinker 10 - 15 Standard Drinks per week with 3 - 4 per session, although sometimes after Golf may be more.
 
== Pre-Hospital Assessment<br>  ==
 
== Acute Hospital Assessment ==


== Investigations<br>  ==
== Investigations<br>  ==
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== Medical Management<br>  ==
== Medical Management<br>  ==


== Physiotherapy Objective ==
== Physiotherapy Objective ==


== Physiotherapy Management ==
== Physiotherapy Management ==

Revision as of 00:11, 28 April 2017

Introduction[edit | edit source]

This case study forms part of the Stroke Course

History of Presenting Condition
[edit | edit source]

Michael is a 61 year old Senior Partner in a Law Firm. While eating breakfast Michael experienced sudden onset slurring of speech, had facial droop on his left hand side with weakness in left side upper and lower limbs.

Michael's wife Mary spotted these sudden onset of symptoms and called for the ambulance which arrived within 15 mins.

Past Medical History
[edit | edit source]

Asthma - Dx Aged 8

Hypertension Grade 1 - Dx 5 years ago

Prediabetes - Dx 3 years ago

Medication History[edit | edit source]

Seretide Accuhaler

Ventolin (As Required - Not Required for over 1 Year)

Thiazide

Social History[edit | edit source]

61 Year Old Senior Partner at a Law Firm, recently reduced working hours 20 - 30 hours per week, previously worked 50 - 60 Hours

Planning on retirement in 1 - 2 years

Lives in a Bungalow with his wife Mary, who is a recently Retired Teacher.

2 Adult Children, both married with their own children - 1 lives close by, the other lives overseas.

Lifestyle Changes implmented over past 2 - 3 Years foloowing Dx Prediabetes.

Outside work he enjoys golf, usually playing at least 2-3 per week. Also enjoys playing Bridge with Friends.

Took up walking 3 Years ago following Dx Prediabetes. Walks 5 - 6 days per week for between 30 - 45 mins

Ex-Smoker - Hx Smoking 30 Years x 10 - 15/day - Quit 3 Years ago following Dx Prediabetes

Social Beer Drinker 10 - 15 Standard Drinks per week with 3 - 4 per session, although sometimes after Golf may be more.

Pre-Hospital Assessment
[edit | edit source]

Acute Hospital Assessment[edit | edit source]

Investigations
[edit | edit source]

Medical Management
[edit | edit source]

Physiotherapy Objective[edit | edit source]

Physiotherapy Management[edit | edit source]