A 60-year-old man is brought to the ER by ambulance because of slurred speech and left side weakness. His wife states they went to bed at 11pm and woke up at 5am when she noticed his symptoms. He is right handed with a history of coronary artery disease, hypertension, and hypercholesterolemia and a heart attack at age 50. He currently is unable to move his left arm and leg. He had an episode of amaurosis fugux (blindness)in his right eye one month ago that lasted for 5 minutes. Around 3 months ago his wife states he had bilateral pain in his legs while they were on a walk that lasted about 15 minutes. He is taking a baby aspirin a day an ACE inhibitor, and statin as well. He does have a history of alcohol use and smoking in the past but stopped after his heart attack. His blood pressure is 195/118 Pulse 106, Respiratory rate 18, Temperature 99.8, o2 sat is 97% on room air. Although his pupils are equal and reactive, and the ocular movements are intact, he is unable to turn his eyes voluntarily toward the left side. The neck is supple, there is no jugular vein distension, and there are no bruits. The lungs are clear heart sounds regular without murmurs, and abdomen is normal. The limbs are not well perfused distally. The neurologic examination reveals that he is alert and oriented, although he does not recognize he is sick. He shows loss of awareness and attention with respect to objects or stimuli on his left side. He has mild dysarthria but, his speech is fluent, and he understands and follows commands very well. There is mild weakness on the left side of the face and left sided homonymous hemaianopsia, but there is no nystagmus or ptosis, and no tongue or uvula deviation. He is not able to move his left arm and leg, has hyperreflexia, and the left great toe is upgoing.1) What are two questions you would ask this patient?2) Identify the subjective data for this patient.3) Identify the objective data for this patient.
4)What is the likely diagnosis?

Answers

Answer 1
Hypercholesterolemia
Answer 2

The potential question which can be asked is when he first noticed left-side weakness. The subjective data of the patient include previous medical history.

The objective data of the patient include his blood pressure, pulse, temperature oxygen levels, and some other vitals. This patient is most likely suffering from an ischemic stroke that has targeted the right middle cerebral artery

1. Two questions you could ask this patient are:

"When did you first notice the slurred speech and left side weakness?"

"Have you experienced any other symptoms leading up to this event, such as headaches or dizziness?"

2. Subjective data for this patient:

Slurred speech and left-side weakness were noticed by the wife.

The previous episode of amaurosis fugax (temporary blindness) in the right eye was one month ago.

Bilateral leg pain during a walk three months ago.

History of coronary artery disease, hypertension, hypercholesterolemia, and a previous heart attack.

History of alcohol use and smoking in the past, but stopped after the heart attack.

3. Objective data for this patient:

Blood pressure: 195/118 mmHg

Pulse: 106 beats per minute

Respiratory rate: 18 breaths per minute

Temperature: 99.8°F

Oxygen saturation: 97% on room air

Pupils equal and reactive

Inability to voluntarily turn eyes toward the left side

Limbs not well perfused distally

Mild weakness on the left side of the face

Left-sided homonymous hemianopsia (loss of vision on the left side of both eyes)

Left-sided arm and leg paralysis

Hyperreflexia (exaggerated reflexes)

Upgoing left great toe (Babinski sign)

4. This patient is most likely suffering from an ischemic stroke that has targeted the right middle cerebral artery. Speaking slurredly, having left-sided weakness, having left-sided homonymous hemianopsia, and being unable to swivel one's gaze to the left are all stroke symptoms.

A vascular event like a stroke is more likely in patients with a history of hypertension, hypercholesterolemia, and prior heart attacks.

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Related Questions

True or False, Agents have 10 calendar days to enter a customer request to be placed on the Company DNC List or enter requests for our Company DNC Policy

Answers

Answer:

TRUE AGENTS HUB TELEPHONE ORDERS TO ANSWER OF CUSTOMER REQUESTS TO BE PLACED ON THE COMPANY DNC LIST OR ENTER REQUEST FOR OUR COMPANY DNC POLICY

Agents have 10 calendar days to enter a customer request to be placed on the Company DNC list :  TRUE

What is DNC list ?

DNC ( do not call ) registry gives customers/consumers the option to opt in or out of receiving unsolicited calls usually for the purpose of telemarketing. Customers can sign up for free.

Agents working with the do not call registry are obligated to enter a customer request to signup for a company's DNC list. within the maximum of 10 days after request have been received.

Hence we can conclude that the statement is TRUE

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which of the following items are MOST likely to help create a comforting environment for a person with dementia?

old family pictures
access to a computer
dark colored walls
modern pop music ​

Answers

Old family pictures………….

Completar el espacio en blanco:
Los musculos se encargan de los ________voluntarios e involuntarios.
existen tres tipos de tejido muscular__________ , __________ y _________.

Answers

El texto completo es:

Los músculos se encargan de los movimientos voluntarios e involuntarios. Existen tres tipos de tejido muscular: Cardiaco, Esquelético y Liso.

Explanation

El cuerpo esta compuesto por diversos tejidos y sistemas que permiten un buen funcionamiento. Uno de ellos es el sistema muscular que se encarga de los movimientos del cuerpo con ayuda del sistema óseo. Los músculos se clasifican en tres grupos a partir de las funciones que desempeñan en el cuerpo. El primer grupo son los cardiacos que son los músculos ubicados en el corazón y que se mueven involuntariamente para que la sangre sea bombeada de allí a todo el cuerpo. El segundo grupo son los esqueléticos que se encargan de los movimientos voluntarios del cuerpo (caminar, correr, levantar los brazos, parpadear, hablar, mirar, entre otros). En tercer lugar están los músculos lisos que se ubican en las paredes de los órganos y contribuyen al buen funcionamiento de los mismos.

An 18-year-old primigravid woman comes for her initial prenatal visit at 16 weeks' gestation. She is not sure about the date of her last menstrual period but says that the pregnancy probably occurred immediately after she stopped taking oral contraceptives 5 months ago. Maternal serum α-fetoprotein (MSAFP) level is increased to 3 multiples of the median. Which of the following is the most appropriate next step in management?

a. Repeat measurement of MSAFP level
b. Triple screening for MSAFP, serum β-hCG, and serum estriol levels
c. Ultrasonography
d. Amniocentesis for measurement of α-fetoprotein level
e. Amniocentesis for chromosomal analysis

Answers

Answer:

The answer is D

Please help

Do you feel that the nutrient claims on the labels are fair representations of what are in the actual product? Why or why not?

Answers

I feel like the labels are fair representations of what are in the actual product. I think this because if a wrong ingredient was found in the product by someone with allergic reaction, the food companies could get sued a large amount.

Stress is defined as a "nonspecific response of the body to any demand made upon it." What is meant by "nonspecific"?

Answers

Not a specific response can cause stress ,,
stress can be caused by anything .

Health Care: Mastery Test
Submit Tes
Drag each tile to the correct location.
Match the treatment to the culture that commonly follows it.
an ancient system of medicine that
originated in India
believes that illness is a result of an
imbalance in energy
use of acupuncture as a treatment
method
uses plants and minerals as
medicine as well as techniques
such as meditation and exercise
Ayurveda
Traditional Chinese Medicine
2021 Edmentum. All rights reserved.

Answers

Answer:

Ayurveda- an ancient system of medicine that originated in India; believes that illness is a result of an imbalance in energy.

Traditional Chinese Medicine- use of acupuncture as a treatment  method; uses plants and minerals as medicine as well as techniques  such as meditation and exercise

Explanation:

Ayurveda is a treatment method that originates from ancient India and it thrives on the belief system that health is achieved when there is a balance between the three Dosas; namely, Vāta, Pitta, and Kapha. When there is an imbalance between these three, sickness arises. Meditation, traditional medicines, Yoga, oils, etc., are used in treatment.

Traditional Chinese Medicine is rooted in Chinese culture that dates back to some 2000 years ago. Acupuncture, meditation, and exercise, as well as herbal medicines, are employed in treatment.

Both of these methods of treatment are regarded as pseudoscience or quackery because they do not have any scientific-based mechanism of action.

playing indoor and outdoor games promotes? explain​

Answers

Answer:

indoor is a good example chess,carrom but out door it's good but in early age if you play outdoor games like running in small year you can get leg ache in early age it effects that in old ages

that both we can play it's good but not too more that was also give energy but it gives the results in older year

hope you understand you ask to explain so here is your expen bye hope it's helpful

Which of these is an example of proper netiquette?

Answers

An example of proper netiquette is being nice and polite in your emails and in discussions

Answer:

Being polite in your email and discussions.

Explanation:

solution for pressure of studies​

Answers

Answer:

It happens to all of us, and it could be very overwhelming, however, there is several ways to conquer the huge amount of work easily, without stress.

Try to breath and stretch while your studying. Breathing techniques are one of the quickest and easiest ways to relieve tension in the body and calm the mind.

It's also very important to manage your time correctly, creating a schedule of how much time you should spend on this subject and how much time on that topic is very impotent, it organizes your work and allows to finish your work with ease.

Make sure you have nothing to distract you, try to find a quite place with nothing to distract you, also, get rid of any electronics that could distract you.

Excersize! It's important to get your heart pumping and ready to do work, whenever your starting to feel a little tired, get up, do some jumping jacks! IT will energize you and you'll feel better very quickly.

Surprising, writing down your problems or talk it out to someone else helps, It always helps me, knowing that their is someone else to be their for you is a reliever, and perhaps they could help you with your work!

Remember, you'll be alright in the end, it just takes time.

Hope this helps!

• What impact do you think stretching might have on certain muscular system
pathologies? Why? Are there any pathologies you think that stretching would
have no impact on? If so, which ones?

Answers

Answer:

Helps blood flow

Explanation:

Stretching helps in increasing the blood flow in the muscles.

What are stretching exercises?

The outcomes of studies on the advantages of stretching have been conflicting. According to several studies, stretching doesn't lessen muscular discomfort following exercise. According to another research, stretching the muscle out and holding it just before a race may marginally reduce performance.

Stretching, however, has been found to assist increase flexibility and, as a consequence, the range of motion in your joints. Check that you can stretch safely and properly before you start. Although you may stretch anywhere, anytime, good technique is essential. Incorrect stretching might potentially do more harm than benefit.

You might need to modify your stretching methods if you suffer from a persistent illness or an injury. Stretching a muscle that is already strained, for instance, might make it worse. If you have any health issues, see a doctor or physical therapist about the best technique to stretch.

Therefore, stretching helps in increasing the blood flow in the muscles.

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If an employee gets injured when while preparing food, bandages should be:

Answers

is there options? otherwise the answer should be: local so the injury can be cared for as soon as possible without contaminating or affecting the food product
The food that was contaminated should be disposed of. The person who was injured needs to rinse the area off with water and soap and then put a bandage on on top of the Band-Aid there should be a glove.

_______ produce enzymes.
_______ produce hormones.​

Answers

Answer:

During digestion, your pancreas makes pancreatic juices called enzymes. These enzymes break down sugars, fats, and starches. Your pancreas also helps your digestive system by making hormones. These are chemical messengers that travel through your blood.

Answer:

Exocrine glands produce enzymes

Endocrine glands produce hormones

bệnh nhân sử dụng Morphine tác dụng nhanh 30mg ngày 2 lần. liều cứu hộ phù hợp morphine (20mg/ml) cho bệnh nhân này là bao nhiêu?

Answers

Answer:

Me no speek your americano

Explanation:

1. Which is a time/temperature control for safety (TCS) food?
Snack crackers

A-Unopened canned food

B-Fresh poultry

C-Individually packaged condiments

Answers

Individually packaged condiments

Option C-Individually packaged condiments is a time/temperature control for safety (TCS) food.

What is time/temperature control for safety?

Foods that require time and temperature control for safety—known as TCS foods—include milk and dairy products, eggs, meat (beef, pork, and lamb), poultry, fish, shellfish and crustaceans, baked potatoes,

TCS food must be cooled from 135°F to 70°F within 2 hours and thoroughly cooled to 41°F or below within 6 hours. TCS food prepared from ingredients at room temperature must be cooled to 41°F or below within 4 hours.

TCS foods that exist ready-to-eat can be safely consumed in a four-hour window. If they have not been temperature controlled, they should be scrapped after four hours. Hot held and cold held foods can be performed for four hours without temperature management if they exist discarded after the four-hour time limit.

Hence, Option C-Individually packaged condiments is a time/temperature control for safety (TCS) food.

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Which view is consistent with the family-systems perspective?
Select one:
a. A person's behavior in a family is tied to the behavior of all the other
family members.
b. Therapy cannot be attempted unless it is possible to treat everyone in
the family.
c. Dysfunctional families are usually caused by a single family member.
d. Families will always support a family member who makes a change to
improve themselves.

Answers

Answer:

D.

Explanation:

Match the fat soluble vitamin with its primary function.
The task is to match the lettered items with the correct numbered items. Appearing below is a list of lettered items. Following that is a list of numbered items. Each numbered item is followed by a drop-down. Select the letter in the drop down that best matches the numbered item with the lettered alternatives.
a. Antioxidant
b. Blood clotting
c. Vision
d. Bones & teeth
1. Vitamin A abcd
2. Vitamin D abcd
3. Vitamin E abcd
4. Vitamin K abcd

Answers

Answer:

a) antioxidant = vitamin E

b) blood clotting = vitamin K

c) vision = vitamin A

d) bones and teeth = vitamin D

Direction: Share an experience/ make a reaction of any sports event happened in your barangay (before the pandemic) run by the Sangguniang Kabataan.​

Answers

Answer:

Explanation: I'm just trying to get more brainly points

Which conflict resolution steps are in the right order?

A take responsibility find a solution talk it out listen

B calm down set ground rules talk it out listen

C talk it out set ground rules take responsibility listen

D listen talk it out some ground rules calm down

Answers

Explanation:

B. Calm down, Set ground rules talk it out listen.

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Someone who has swallowed poison should be given water.

Answers

Answer:

they should have induced vomiting

Explanation:

Answer:

Water should only be given to a human that cannot swallow anything. When someone swallows poisin they should be given milk or ice cream because it dilutes and helps to negate the poisin. Or, you can make them vomit it out.

Explanation:

three ways in which the local government should provide services that promote safe and healthy living​

Answers

Answer:

1. safe drinking water

2. promote organic products by providing subsidiary products

3. create a place for selling the organic products

Preliminary, non-experimental, research that gathers information about behavior is called _______
research.

Answers

Preliminary, non-experimental, research that gathers information about behavior is called [tex]\boxed{ descriptive }[/tex] research.

[tex]\large\mathfrak{{\pmb{\underline{\orange{Mystique35 }}{\orange{❦}}}}}[/tex]

Preliminary, non-experimental, research that gathers information about behavior is called Descriptive research.

Nonexperimental research

Nonexperimental research is research that lacks the manipulation of an independent variable, random assignment of participants to conditions or orders of conditions, or both.

In a sense, it is unfair to define this large and diverse set of approaches collectively by what they are not. But doing so reflects the fact that most researchers in psychology consider the distinction between experimental and nonexperimental research to be an extremely important one. This distinction is because although experimental research can provide strong evidence that changes in independent variables cause differences in a dependent variable, nonexperimental research generally cannot. As we will see, however, this inability does not mean that nonexperimental research is less important than experimental research or inferior to it in any general sense.

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Help please! I don't know

Answers

Answer:

remove

Explanation:

well its called "waste" just look between the lines.

The answer is remove. The reason is the Excretory means taking bodily fluids out.

qwertyuioplkjhgfdsazxcvbnmkijnhjuhnbhgygbvgftrfvcdswqwertyuioplkmnhgfdsazxcvbnm,koiuytrewsxcvghytrdfvh

Answers

Hshehwvegsushegegwhwhhwhsv haghagghahahahhaha

thực đơn ăn uống tốt cho người muốn tăng cơ bắp ?

Answers

Explanation:

sữa chua, gạo lứt, sinh tố, trứng, thịt bò, cá, các loại hạt, sữa tươi

Buổi sáng nên ăn trứng gà + uống sữa hoặc ăn ngũ cốc

Which factor is related to seat belt use in teens?
A. Speed limit on roadways
B. Type of weather
C. Weather conditions
D. Alcohol use

Answers

Answer:

A or D

Explanation:

many teens may not wanna use a seat belt because it's a "low speed zone" but with achool use they might simply forget.

four ways In which this violence harm South Africa citizens of of gender based violence​

Answers

Answer:

Answer to the following question is as follows;

Explanation:

Gender-based violence or sexual identity causes psychological distress and it can have behavioral, social, emotional, and physical effects for survivors or individual on a personal level. Many individuals are unable to obtain the treatment they require due to a lack of official psychological or even medical assistance in many regions of the nation.


How can the health care professional prepare for working with various age groups?

Answers

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Volunteer teams assigned to tasks have 3 members. One must be the leader. What other role must be filled of the team

Answers

If it’s generic then there should be a staff writer ( meaning who writes articles, gathers documents, information, and identifies local people for interviews,etc) and another can be publicly director (marketing is VERYYY important)

Since the volunteer teams must have a leader, the other role that must be filled in the team is a runner.

Who is a leader?

A leader can be defined as an individual who is saddled with the responsibility of controlling, managing and maintaining a team or group of people that are under him or her.

Who is a runner?

A runner refers to an individual who is appointed by a leader or other members of a team, so as to act as an intermediary between the leader and the team members for the dissemination of information or effective communication.

In conclusion, since the volunteer teams must have a leader, the other role that must be filled in the team is a runner

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Which of the steps below si not important for willness

Answers

Which steps? We need more information
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