Case Study: A 62-year-old woman with a history of hypertension and hyperlipidemia presented to the hospital with sudden onset of weakness of the right side. On examination, she had a global aphasia, left gaze preference, right homonymous hemianopsia (field cut), right facial droop, dysarthria, and right hemiplegia (NIH Stroke Scale = 22). Head imaging showed hypodensity in the left middle cerebral artery territory (MCA) (Figure 1). Angiography showed a left middle cerebral artery occlusion (Figure 2). Fig. 1: Head imaging showing hypodense areas (dark areas) on the left MCA territory.

Case study: Amelia is a 68-year-old woman who was brought into ED by herneighbour. She woke this morning at 0600 hours with a 5/10 headache.At 0700 she called her neighbour and asked her to bring her to hospitalwhen she began to feel weak, and her headache increased to 7/10. Atthis time, one side of her face began to “feel strange”.She has past medical history of Atrial fibrillation (AF), hypertension (HT)and dyslipidaemia which she manages with Apixaban 2.5mg BD, Sotolol80mg daily, Amlodipine 5mg daily, Irbesartan/hydrochlorothiazide300/25mg daily, Rosuvastatin 10mg daily.Amelia used to smoke 20 cigarettes/day but states she quit 5 years ago.When she was brought into ED, she told staff that she did not take hermedications this morning as she was too distracted by her increasingheadache.You are assigned to care for Amelia. As you are about to enter her room,you overhear Amelia crying to her neighbour, explaining that she isworried as her mother had died of a stroke.   Vital signs:•…

Case Study: Jason is a 52-year-old Asian American male visiting his doctor for a routine exam. He works as a warehouse manager and mentions that his job is very stressful.  He also states that he wishes he could be more physically active during the day. Questions: 1.  In addition to weight, name 4 other risk factors that increase the likelihood of a person developing cardiovascular disease. Explain.

Patient is a 36 year old female with a chief complain of tingling and numbness in her first 3 fingers and thumb of both wrists, mild burning sensations heading proximally in her right arm, trouble grasping objects, and having issues making a fist. The patient has been working as a secretary for the last 10 years.   Past medical history Herniated disc between C6-C7.   Family history: Moher died of bladder cancer and father has coronary artery disease.   Social History Social alcohol usage (a glass of wine every one-two weeks) with friends and family. No Tabaco or recreational drug history.   Allergies None   Medications Ibuprofen 400 mg when needed. Birth control pill   Key Labs, images, or procedures performed in relation to current diagnosis. Nerve conduction study:  Median nerve impulse were slower than normal Tinel’s test: Positive. Phalen’s test: Positive   Key Physical Examination findings: Tenderness when the wrist was overextended. 1. Provide the diagnosis *   2.…

Amy is a 57-year-old African-American woman seen at an urgent care clinic for a headache not relieved by acetaminophen or ibuprofen. Physical examination reveals an overweight woman who is short of breath from the walk to the examination room. Her fingers are puffy with tight rings that she is unable to remove. M.H. reports she has a history of cigarette smoking, primary hypertension, high cholesterol, and type 2 diabetes. Select a potential diagnosis for M.H. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain M.H.’s physical exam findings and how does her medical history contribute to the pathophysiology?

Acute arterial occlusion of a limb, finger or toe will result in several (7) signs consistent with a stoppage of blood flow to an area. Explain the pathophysiology of the signs pallor, pulselessness and paresthesia.

Case Presentation Ms. Jimenez is a 56-year-old woman who has been having financial difficulties since her divorce five yea ago. She was recently involved in a motor vehicle crash (MVC) in which she drove over a curb and hi telephone pole. She did not sustain any significant injuries in the MVC. Two days ago, Ms. Jimenez daughter Maria returned home at 8:00 p.m. to find Ms. Jimenez sitting on the floor with a decreased lev of consciousness. Maria was able to shake her mother awake. With slurred speech, Ms. Jimenez told h daughter that she drank three large glasses of antifreeze (ethylene glycol) at around 7:00 p.m. Maria call 999 and emergency medical services transported Ms. Jimenez to the local emergency department. Case Progress It is forty-eight hours after her arrival in the emergency department. Ms. Jimenez has undergo twelve hours of emergency dialysis, has been extubated, and is medically stable for transfer to a medic. surgical nursing unit. A safety sitter remains in Ms.…