In: Nursing
Neurologic Case Study 1 Mr. C (a 64-year-old Chinese faculty member teaching computer science) presents with headache, weakness, and numbness on his left extremities. He is by himself and a little confused, so his history is “sketchy.” CC: “I had these problems this morning. I then seemed to improve, and then got worse. Now I’m getting scared.” Past medical history: • Hypertension • Possible transient ischemic attacks last year per verbal history (patient was on vacation). • Has been taking ASA 81 mg and amlodipine (Norvasc) 10 mg daily. Physical exam: • Blood pressure, 162/96 • Respiration rate, 26/min. • Patient awake but confused • Left foot slightly externally rotated, difficulty walking, • Bilateral high-pitched carotid bruits • Decreased sensation in left lower extremity. Questions: 1. What additional subjective data do you think the patient will share? 2. What additional objective data will you be assessing for? 3. What tests will you order? 4. Will you be looking for a consult