| Thrombolysis
Case Studies
Case Study 4 (1)
A 43-year-old female is brought to the Emergency Department
with possible stroke. Her symptoms began at about 10:00 am while she was
riding a shuttle bus from another hospital to a medical office building.
Other patients on the shuttle bus noted that her speech became slurred
and her right arm was weak. In the Emergency Department, her vitals signs
are normal; pulse is regular, and she appears to understand the staff.
She has a mild right facial weakness, slight pronator drift, and ataxia
of the right arm. Initial laboratory studies are sent to the lab
and a finger-stick glucose is within normal range. ECG exhibits
normal sinus rhythm.
At this point:
Order
a CT brain scan.
Obtain
more history and accompany the patient to the CT scanner.
Abort
the Code Stroke since she is too young to have a stroke.
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