GENERAL DATA SALIENT FEATURES

Name: E.D •FAMILY HISTORY OF HPN

Birthday: February 17, 1975
Age/Sex: 44/Female
Marital Status: Married
Home Address: Conner, Apayao
Religion: Jehovah’s Witness
Nationality: Filipino
AND STROKE
•HYPERTENSIVE with BP of
220/140 mmHg
•WEAKNESS ON THE RIGHT
SIDE OF THE BODY
•SLURRED SPEECH
•HEADACHE AND DIZZINESS
•TOUNGE DEVIATED TO THE
RIGHT
•PMI AT 5TH ICS AAL

Chief Complaint: Right sided body weakness

PROBLEM LIST: CVD BLEED, BASAL
GANGLIA
RIGHT HEMIPLEGIA AND HEMIPARESTHESIA,
Hypertensive, SLURRED SPEECH, BP 220/140, FAMILY
HX OF HPN AND STROKE

Cerebrovascular disease includes a variety of medical conditions that affect the blood vessels of the
brain and the cerebral circulation. Arteries supplying oxygen and nutrients to the brain are often
damaged or deformed in these disorders. The most common presentation of cerebrovascular disease is
an ischemic stroke or mini-stroke and sometimes a hemorrhagic stroke. Hypertension (high blood
pressure) is the most important contributing risk factor for stroke and cerebrovascular diseases as it can
change the structure of blood vessels and result in atherosclerosis. Atherosclerosis narrows blood
vessels in the brain, resulting in decreased cerebral perfusion. Other risk factors that contribute to
stroke include smoking and diabetes. Narrowed cerebral arteries can lead to ischemic stroke, but
continually elevated blood pressure can also cause tearing of vessels, leading to a hemorrhagic stroke
PROBLEM LIST: CVD BLEED, BASAL
RIGHT HEMIPLEGIA AND HEMIPARESTHESIA, GANGLIA
Hypertensive, SLURRED SPEECH, BP 220/140, FAMILY
HX OF HPN AND STROKE

rule in:
FAMILY HISTORY OF STROKE AND HPN
rule out:
NO MAINTENANCE MED (-) SEIZURE
HYPERTENSIVE (-) ALTERED LEVEL OF CONSCIOUSNESS
RIGHT SIDED BODY WEAKNESS NO CHANGES IN BODY MOVEMENT
RIGHT HEMIPLEGIA AND (ataxia, tremors, rigid or stiff movement)
HEMIPARESSTHESIA NO COGNITIVE IMPAIRMENT
TOUNGE DEVIATED TO THE RIGHT CRANIAL CT SCAN TO RULE OUT
BP 220/140
PMI AT 5TH ICS AAL
SLURRED SPEECH
SUDDEN ONSET OF NEUROLOGIC DEFICIT
VOMITING
HEADACHE
PROBLEM LIST: TRANSIENT SCHEMIC
PARALYSIS ON RIGHT SIDE OF THE BODY, ATTACK
SLURRED SPEECH, HEADACHE, DIZZINESS

A transient ischemic attack (TIA) is a temporary period of symptoms similar

to those of a stroke. A TIA usually lasts only a few minutes and doesn't cause
permanent damage.
It is a transient episode of neurologic dysfunction caused by focal brain,
spinal cord or retinal ischemia without acute infarction.
Often called a ministroke, a transient ischemic attack may be a warning.
About 1 in 3 people who has a transient ischemic attack will eventually have
a stroke, with about half occurring within a year after the transient ischemic
attack.
A transient ischemic attack can serve as both a warning of a future stroke and
an opportunity to prevent it.
PROBLEM LIST: TRANSIENT SCHEMIC
PARALYSIS ON RIGHT SIDE OF THE BODY, ATTACK
SLURRED SPEECH, HEADACHE, DIZZINESS

rule in: rule out:

FAMILY HISTORY OF HPN AND STROKE (-) LOSS OF VISSION
(+)CORRIGANS SIGN ( SIGN OF AORTIC RESOLVES WITHIN 24 HRS
REGURGITATION)
PARALYSIS ON ONE SIDE OF THE BODY
SLURRED SPEECH
HEADACHE
DIZZINESS