Stroke: Case Study: Difference between revisions

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== Introduction ==
== <span style="font-size: 19.920000076293945px;">Introduction</span> ==


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


== History of Presenting Condition<br>  ==
== History of Presenting Condition   ==


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.&nbsp;Michael's wife Mary spotted these sudden onset of symptoms and immediately called for an ambulance, which arrived within 15 mins.
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.&nbsp;Michael's wife Mary spotted these sudden onset of symptoms and immediately called for an ambulance, which arrived within 15 mins.  


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


Asthma - Dx Aged 8
Asthma - Dx Aged 8  


Hypertension Grade 1 - Dx 5 years ago
Hypertension Grade 1 - Dx 5 years ago  


Prediabetes - Dx 3 years ago
Prediabetes - Dx 3 years ago  


== Medication History  ==
== Medication History  ==


Seretide&nbsp;Accuhaler
Seretide&nbsp;Accuhaler  


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


Thiazide
Thiazide  


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


61 Year Old Senior Partner at a Law Firm, recently reduced working hours 20 - 30 hours per week, previously worked 50 - 60 Hours
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
Planning on retirement in 1 - 2 years  


Lives in a Bungalow with his wife Mary, who is a recently Retired Teacher.  
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.
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.
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.
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
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
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.
Social Beer Drinker 10 - 15 Standard Drinks per week with 3 - 4 per session, although sometimes after Golf may be more.</div>


== Pre-Hospital Assessment<br>  ==
[[Category:Case Studies]]
 
[[Category:Neurology]]
== Acute Hospital Assessment ==
[[Category:Neurological - Case Studies]]
 
[[Category:Stroke]]
== Investigations<br>  ==
[[Category:Stroke - Case Studies]]
 
[[Category:Head]]
== Medical Management<br>  ==
[[Category:Head - Case Studies]]
 
[[Category:Course Pages]]
== Physiotherapy Objective  ==
[[Category:Plus Content]]
 
== Physiotherapy Management ==

Latest revision as of 11:27, 18 August 2022

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 immediately called for an 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.