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 *
Stroke is seen as a major health concern and this is due to the fact that every year, as many as 110,000 individuals suffers from strokes making it a key issue. (NHS 2014)
* Cerebrovascular Disease: More commonly known as stroke cerebrovascular disease can be cause by either a colt or blockage that cuts off blood flow to a part of the brain or by haemorrhage. In both cases there is damage or death of the brain tissue that can cause paralysis, speech disorder, swallowing problems and immobility. People with diabetes and high blood pressure are at higher risk of stroke.
Cerebrovascular Accident- condition in which brain tissue is deprived of blood supply. The most common stroke symptoms are:
The health issue that this artifact discusses is the significance of knowing and recognizing the warning signs of a stroke. The American Heart Association has made it their mission to provide unlimited health information and research in the hopes of eliminating cardiovascular diseases as well as helping society in maintaining a healthy lifestyle. “Stroke is the number 5 cause of death and a leading cause of
Stroke previously known as Cerebrovascular accident is well-defined as ‘an abrupt cessation of cerebral circulation in one or more of the blood vessels distributing the brain. Due to the interruption or diminish of oxygen supply causes serious damage or necrosis in the brain tissues (Jauch, Kissella & Stettler, 2005). There is a presence of one or more symptoms such as weakness or numbness or paralysis of the face, arm or leg, difficulty speaking or swallowing, dizziness, loss of balance, loss of vision, sudden blurring or decreased vision in one or both eyes and headache. Stoke is categorised into two types, Ischaemic and haemorrhagic
Given the high risk of severe, debilitating health outcomes imaging a patient with suspected stroke in a timely fashion is paramount. When the timing of the stroke onset is determinable this allows for the appropriate form of treatment to be administrated such as thrombolytic therapies and neurointerventional techniques (González, 2012).
Neuroradiological imaging plays an important role in the process of diagnosing ischaemic stroke. The different imaging modalities that can be used to diagnose ischaemic stroke include computed tomography (CT), magnetic imaging resonance (MRI), and radionuclide imaging. In this article, the different modalities that contribute to the diagnostic process are discussed, with a focus on CT scan protocols.
My name is Shankar Pattabhiraman, and I am an incoming senior at New Albany High School. I will be graduating in June of 2016, and I am thinking of pursuing a chemical or biomedical engineering major in college, or possibly biochemistry or neuroscience. My career goal is to become a physician, or perhaps a physician scientist. I am especially interested in neurology-related fields, and this interest has been reinforced in several ways: participating in the 2015 National Brain Bee Championships competition in Baltimore, MD, volunteering at Riverside Methodist Hospital in the Neurocritical Care Unit and the Stroke and Brain Center, and helping Tony Hall and his friends who suffer from neurological disorders and diseases. I chose to study ischemic strokes because I am interested in neuropathology, both clinically and through research. In addition, through my volunteering at RMH, I have worked with patients who have suffered from strokes, and while the symptoms’ onset is sudden, the events leading up to the stroke are long-term but rarely treatable.
Aneesh Singhal, MD, author of Recognition and management of stroke in young adults and adolescents, from the Clinical Journal of the American Academy of Neurology states
This tool is applied to the assigned CPG "Clinical guidelines for stroke management 2010" in relation to the management, diagnosis and treatment of stroke. Stroke occurs when there are blood clots
A cerebrovascular accident more commonly known as a stroke or brain attack is the term used to describe the sudden death of brain cells in a localized area due to inadequate blood flow. In order to woke the brain needs a constant supply of oxygen and nutrients. This supply is carried to the brain
Mariam background is 60 year old lady admitted with left sided weakness and facial droop. Once confirmed stroke using the Recognition of Stroke in the Emergency Room (ROSIER) scale. Catangui (2015) states ROSIER scale is used to distinguish whether the patient is having a stroke or stroke mimics e.g. seizures or brain tumours. Computed tomography CT brain showed ischemic stroke. Ischaemic stroke is lack of sufficient blood supply to perfuse the brain/ cerebral tissue due to narrowing or blocked arteries in the brain (Morrison, 2014). According to Stroke Association (2015) statics shows that 1520000 strokes occur in the United Kingdom.
Hospital arrival time was calculated as the time from stroke symptom onset to arrival at the emergency department or the hospital. Forty percent of included articles defined stroke onset as the exact time that symptoms occurred and if patients have unclear stroke onsets or have symptoms after waking up, the time that they have last seen normal was used to be stroke onset. While, six articles have not distinctly described the onset whether stroke symptoms occurred during sleep (Barr et al., 2006; Centers for Disease Control and Prevention (CDC), 2007; Iosif, Papathanasiou, Staboulis, & Gouliamos, 2012; Knauft, Chhabra, & McCullough, 2010; Oh & Park, 2006; Yanagida, Fujimoto, Inoue, & Suzuki, 2014).
In many cases, strokes can be diagnosed, prevented and treatable. Symptoms of a stroke can occur quickly and may cause: sudden numbness, tingling, or weakness, or paralysis in your face, arm, or leg, especially on one side of your body. Sudden: vision changes, trouble speaking (slurred speech), confusion or trouble understanding simple statements, problems with walking or balance, severe headache. It's recommended to call a doctor or 911 even if these symptoms last for a short amount of time because a transient ischemic attack, or mini stroke may have occurred. The transient ischemic attack may be a precursor to a stroke occurring soon. Catching these symptoms can dramatically increase chances of prevention additional damage to the body (2).
Dr. Jill Bolte Taylor had an amazing experience that most people do not get to tell after the fact. Especially because she is a neuroanatomist who knew what was happening and what parts of the brain were being affected. This book is informational on many different levels and to many different types of people. This book can warn people about the signs of when someone is having a stroke. This information could save many lives if someone were to read this book and realize they were having a stroke soon enough to call for help. It can be helpful for the treatment of stroke victims, average people looking to gain insight on life and how to better themselves, and to many professionals who know all of the science behind a stroke, but do not know