STROKE WITH VERTIGO

Question 1

TASK

Answer 1

333

Question 2

D/D

Question 3

HX

Answer 3

-I am so osrry to hear than, must be very distressing>don’t worry we
-Tell me a little more about what happened?
-how are felling now john?
-how is your pain now? and numbness
-nukbness in limbs?r/s trunk and limbs
d/d
headache,fever,neck stiffness
-hoarseness,dysphagia
-taste
SADMA
PMHS
FAMILY HX

Question 4

PEFE

Answer 4

GE
CVS FULL
CNS FULL WITH CRANIAL NERVES
-NYSTAGMUS
horners syndrome: ipsilateral ptosis,miosis,anhydrosis

Question 5

explain

Answer 5

-learn neuroanatomy
CEREBELLUm
-vertigo, ataxia, w/o motor weakness
-PICA-vertebral artery
-basilar artery -anterolateral part
LOWER MIDBRAIN
-pain and tem at cord level dicussate
-vibration posiiton a decussate at medulla
-crossed pain and temp sensation loss

EXPLAIN
-seems like you have had a minor stroke>but need to be admitted
-for further confirmatory test: MRI CT scan
-referral to neurologist