Question

Mrs Wong, aged 52, 70.5 kg body weight, 1.61 m height, recently suffered a transient ischaemic attack (TIA). She comes to health clinic and seeks for advice on controlling her body weight. What other information you need to gather from this client before you try to provide your professional view? What would be your suggestions? [You should at least name FOUR such data and explain why these are essential for your view and judgement]

Answer 1

INFORMATION GATHERING IN CASE OF TRANSIENT ISCHAEMIC ATTACK :----

A prompt evaluation of your symptoms is vital in diagnoses the cause of your TIA and deciding on a method of treatment.

• Physical examination and tests----

Physical examination and neurological examination .test vision,eye movement,speech and language,strength,reflexes,sensory system.Blood pressure checking,cholesterol levels,diabetes and in some cases high levels of the amino acids and homocysteine.

• Carotid ultrasonography---

Look for narrowing or clotting in the carotid arteries.

• Computed tomography/ computed tomography angiography---

CT scan Evaluate the arteries in your neck and brain.

CTA evaluate blood vessels in the neck and head.

• Magnetic resonance imaging---

Evaluate the arteries in your neck and brain but may include and injection of a contrast material into a blood vessel.