Hi Can you please help me answer this question , since I could not attach more then 2 image . Below I have attached the article first page . I hope that will help to find the article.Thank you ! In the article "Playing the Odds", Ellen, a woman in her fifties, had symptoms of a stroke. Whenfurther investigated, they found that Ellen hada small tumor growing in the dorsal horn of the braina numb right arm, but it was merely the result of sleeping on it incorrectly.an enlarged heart resulting from years of competitive swimmingO a "leaky" foramen ovale that allowed mixing of blood betweent the two atria normal, like someone crying, "Look!A shooting star!" But you look up andbehold only night skyTIAS can be thrombotic or embolic,arising from clots formed in a brainartery diseased with atheroscleroticplaque, or from clots traveling tothe brain from the heart or arteries"But can I still go to the VirginIslands?"Ellen, 51, vivacious and trim, lookedthe perfect candidate for some fun inthe sun."I feel fine. It was only a minute ortwo," she said."I'm sure you're OK," I said. "Butbetter to do all the tests quickly in thehospital and start treatment.""I do everything right." She tickedoff her fingers, "I work out. I quitsmoking. I even skip birthday cake!""The CT scan and your lab worklook good so far.""Do I really need to stay overnight?"I held her shoulder. "We'll get theMRI in a few minutes, then we needsome heart tests. It would make memuch happier if you stayed."attack, or ministroke. "But to where?"I rang Dr. Redder, our chiefneurologist. "My office is all bookedup," she said. "But ER's betteranyway. I can monitor her while we geteverything done." I relayed that to Bill."Tell her to ask for me."DEALING IN DILEMMASTIAS are the devil's work-red flagsthat pop up then vanish. Mechanically,they are simple: just block any bloodvessel in the brain for a few minutes.Clinically, they make doctors crazy,unleashing a cascade of what-are-the-odds dilemmas: Was that momentaryhand weakness a TIA or a carpaltunnel flare? That spell of vertigoupstream. If the body's clot-dissolvingsystem chews up the wayward clotsbefore neurons die, then it's a TIA. Ifnot, it's a stroke.Why the urgency to test Ellen?Because up to 1 in 10 TIAS willprogress to a full-blown stroke within48 hours. The good news is that theseodds can be slashed through prompttreatment with aspirin or bloodthinners, surgery for blocked carotids,statins for high cholesterol, regimensfor smoking cessation and meds forblood pressure control. The temptingcounterbet? Up to two-fifths of TIApatients may never have another. Butno one knows which two-fifthsDr. Redder came by. Compact andwicked smart, she pulled me aside:"The MRI is not normal. Scatteredwhite-matter microinfarcts. She's beenan inner-ear misfire or a clot to thecerebellum? That blurred vision ablocked retinal artery or a migraine?By definition, TIA usually means bythe time you see the patient, all appearsIt started with a phone call."Couldn't move her arm." It was mygood friend Bill. Ex-ER doc, nowin-house company physician, he isa master at plucking rare needles ofdisease from a haystack of healthyyoung people."How long?" I asked."That's the funny thing. Yesterdayshe was getting ready for the gym,then couldn't move her arm. Thoughtmaybe she'd slept on it funny, butrealized it had been fine when sheUp to 1 in 10 TIAS willprogress to a full-blownstroke within 48 hours.showering small clots for a while.Probably from the heart."White matter is the layer justbeneath the brain's surface neuronsRegion ofdecreasedblood flow(imaginatively called "gray matter").The specks of damage were so small,Ellen probably hadn't sensed them. Butthey drew an ominous pattern.woke up. After a minute or so, thestrength came back. Today she decidedto see me. Right now she could do30 push-ups."ArterytemporarilyblockedMy alarm bells went off. "Sendher in."Ischemia is a medical term describing insufficient supplyof blood to an organ. In a transient ischemic attack (TIA).a clot temporarily interrupts blood flow in the brain."I know," he answered. We bothsuspected TIA, a transient ischemicIf the clot does not dissolve in time, neurons die.and the TIA progresses to a full-blown stroke.Blood flow to brain24 DISCOVERMAGAZINE.COMVitalSignsTREATMENT IS NOT CLEAR-CUTDr. Redder went back to Ellen."The MRI shows you've probablyhad similar events in the past. It's veryimportant we investigate where they'recoming from."Ellen took the news quietly. AfterDr. Redder left, I added, "In healthypeople under 55 with a TIA, we don'talways find a clear explanation. Butnow I'm sure you need to stay.""What will I tell my family?""That we're not sure yet."The next morning, I spied Dr.Redder and a cardiologist talkinganimatedly in the hallway."What?" I asked."TEE showed a big PFO," she said.Translation: An echocardiogramshowed a hole in Ellen's heart. Or moreaccurately, a flap.The specks of damageSo what were the odds a PFO causedEllen's TIA?were so small, EllenCryptogenic strokes- those lackingknown causes like a blocked carotidprobably hadn't sensedthem. But they drew anominous pattern.or heart arrhythmias like atrialfibrillation that spawn clots-comprise almost half of strokes inpatients under 55. In such patients,PFOS are more common (39 percentcompared with 26 percent) and biggerthan in the general population.The usual treatment for anycryptogenic TIA or stroke ischolesterol and blood pressurereduction, if indicated, plus ananti-platelet agent, like aspirin. Studieshave tested whether closing PFOS withumbrella-like devices introduced intothe right atrium via the femoral veinwould help. The procedure showed noadditional benefit, but some expertsOpening between leftand right atriumLeftatriumRightatriumLeftventricdeA FAILURE OF FUSIONFrom a developmental perspective;our four-chambered heart (the rightatrium and ventricle pump venousblood to the lungs; their more powerfulcounterparts on the left side pumpoxygenated blood to the body) is asurprisingly jury-rigged machine.In utero, it must shunt oxygenatedRightventridebelieve it could if medications don'thold the line."I have a hole in my heart?" Ellenexclaimed when we told her. "It's beenIn a patent foramen ovale (PFO), a flapbetween the two upper chambers of the heartallows venous blood to mix with oxygenatedblood. If the blood crossing over containsclots, these can travel up the carotid arteryto the brain.there my whole life?""One in four people do to someextent," I reassured her. "We can't besure the PFO caused your TIA, but theMDI enanaete tim elate hae eneaked

Question

Hi Can you please help me answer this question , since I could not attach more then 2 image  . Below I have attached the article first page . I hope that will help to find the article.Thank you ! In the article &#34;Playing the Odds&#34;, Ellen, a woman in her fifties, had symptoms of a stroke. Whenfurther investigated, they found that Ellen hada small tumor growing in the dorsal horn of the braina numb right arm, but it was merely the result of sleeping on it incorrectly.an enlarged heart resulting from years of competitive swimmingO a &#34;leaky&#34; foramen ovale that allowed mixing of blood betweent the two atria normal, like someone crying, &#34;Look!A shooting star!&#34; But you look up andbehold only night skyTIAS can be thrombotic or embolic,arising from clots formed in a brainartery diseased with atheroscleroticplaque, or from clots traveling tothe brain from the heart or arteries&#34;But can I still go to the VirginIslands?&#34;Ellen, 51, vivacious and trim, lookedthe perfect candidate for some fun inthe sun.&#34;I feel fine. It was only a minute ortwo,&#34; she said.&#34;I'm sure you're OK,&#34; I said. &#34;Butbetter to do all the tests quickly in thehospital and start treatment.&#34;&#34;I do everything right.&#34; She tickedoff her fingers, &#34;I work out. I quitsmoking. I even skip birthday cake!&#34;&#34;The CT scan and your lab worklook good so far.&#34;&#34;Do I really need to stay overnight?&#34;I held her shoulder. &#34;We'll get theMRI in a few minutes, then we needsome heart tests. It would make memuch happier if you stayed.&#34;attack, or ministroke. &#34;But to where?&#34;I rang Dr. Redder, our chiefneurologist. &#34;My office is all bookedup,&#34; she said. &#34;But ER's betteranyway. I can monitor her while we geteverything done.&#34; I relayed that to Bill.&#34;Tell her to ask for me.&#34;DEALING IN DILEMMASTIAS are the devil's work-red flagsthat pop up then vanish. Mechanically,they are simple: just block any bloodvessel in the brain for a few minutes.Clinically, they make doctors crazy,unleashing a cascade of what-are-the-odds dilemmas: Was that momentaryhand weakness a TIA or a carpaltunnel flare? That spell of vertigoupstream. If the body's clot-dissolvingsystem chews up the wayward clotsbefore neurons die, then it's a TIA. Ifnot, it's a stroke.Why the urgency to test Ellen?Because up to 1 in 10 TIAS willprogress to a full-blown stroke within48 hours. The good news is that theseodds can be slashed through prompttreatment with aspirin or bloodthinners, surgery for blocked carotids,statins for high cholesterol, regimensfor smoking cessation and meds forblood pressure control. The temptingcounterbet? Up to two-fifths of TIApatients may never have another. Butno one knows which two-fifthsDr. Redder came by. Compact andwicked smart, she pulled me aside:&#34;The MRI is not normal. Scatteredwhite-matter microinfarcts. She's beenan inner-ear misfire or a clot to thecerebellum? That blurred vision ablocked retinal artery or a migraine?By definition, TIA usually means bythe time you see the patient, all appearsIt started with a phone call.&#34;Couldn't move her arm.&#34; It was mygood friend Bill. Ex-ER doc, nowin-house company physician, he isa master at plucking rare needles ofdisease from a haystack of healthyyoung people.&#34;How long?&#34; I asked.&#34;That's the funny thing. Yesterdayshe was getting ready for the gym,then couldn't move her arm. Thoughtmaybe she'd slept on it funny, butrealized it had been fine when sheUp to 1 in 10 TIAS willprogress to a full-blownstroke within 48 hours.showering small clots for a while.Probably from the heart.&#34;White matter is the layer justbeneath the brain's surface neuronsRegion ofdecreasedblood flow(imaginatively called &#34;gray matter&#34;).The specks of damage were so small,Ellen probably hadn't sensed them. Butthey drew an ominous pattern.woke up. After a minute or so, thestrength came back. Today she decidedto see me. Right now she could do30 push-ups.&#34;ArterytemporarilyblockedMy alarm bells went off. &#34;Sendher in.&#34;Ischemia is a medical term describing insufficient supplyof blood to an organ. In a transient ischemic attack (TIA).a clot temporarily interrupts blood flow in the brain.&#34;I know,&#34; he answered. We bothsuspected TIA, a transient ischemicIf the clot does not dissolve in time, neurons die.and the TIA progresses to a full-blown stroke.Blood flow to brain24 DISCOVERMAGAZINE.COMVitalSignsTREATMENT IS NOT CLEAR-CUTDr. Redder went back to Ellen.&#34;The MRI shows you've probablyhad similar events in the past. It's veryimportant we investigate where they'recoming from.&#34;Ellen took the news quietly. AfterDr. Redder left, I added, &#34;In healthypeople under 55 with a TIA, we don'talways find a clear explanation. Butnow I'm sure you need to stay.&#34;&#34;What will I tell my family?&#34;&#34;That we're not sure yet.&#34;The next morning, I spied Dr.Redder and a cardiologist talkinganimatedly in the hallway.&#34;What?&#34; I asked.&#34;TEE showed a big PFO,&#34; she said.Translation: An echocardiogramshowed a hole in Ellen's heart. Or moreaccurately, a flap.The specks of damageSo what were the odds a PFO causedEllen's TIA?were so small, EllenCryptogenic strokes- those lackingknown causes like a blocked carotidprobably hadn't sensedthem. But they drew anominous pattern.or heart arrhythmias like atrialfibrillation that spawn clots-comprise almost half of strokes inpatients under 55. In such patients,PFOS are more common (39 percentcompared with 26 percent) and biggerthan in the general population.The usual treatment for anycryptogenic TIA or stroke ischolesterol and blood pressurereduction, if indicated, plus ananti-platelet agent, like aspirin. Studieshave tested whether closing PFOS withumbrella-like devices introduced intothe right atrium via the femoral veinwould help. The procedure showed noadditional benefit, but some expertsOpening between leftand right atriumLeftatriumRightatriumLeftventricdeA FAILURE OF FUSIONFrom a developmental perspective;our four-chambered heart (the rightatrium and ventricle pump venousblood to the lungs; their more powerfulcounterparts on the left side pumpoxygenated blood to the body) is asurprisingly jury-rigged machine.In utero, it must shunt oxygenatedRightventridebelieve it could if medications don'thold the line.&#34;I have a hole in my heart?&#34; Ellenexclaimed when we told her. &#34;It's beenIn a patent foramen ovale (PFO), a flapbetween the two upper chambers of the heartallows venous blood to mix with oxygenatedblood. If the blood crossing over containsclots, these can travel up the carotid arteryto the brain.there my whole life?&#34;&#34;One in four people do to someextent,&#34; I reassured her. &#34;We can't besure the PFO caused your TIA, but theMDI enanaete tim elate hae eneaked

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In this question, we are given with an article which describes the conditions of a lady named Ellen…