A 57 year old male presented to the Tulane Emergency department at 4:00 AM with the acute onset of right-sided facial drooping, speech slurring, and difficulty with lifting his right upper extremity. Upon presentation, he is unable to communicate with medical staff, as he cannot get any words out; when asked about his birthday, he attempted to speak but was unable to produce any words, but he was able to write his birthdate down correctly when asked to do so. He was unable to lift his right arm, turn his head toward the right side, or He has a strong history of heart issues, dating back to his 40’s when he suffered from a myocardial infarction (heart attack) which required two stents placed in his left anterior descending (LAD) artery. He was prescribed Plavix (Clopidogrel) and aspirin 80 mg daily after his heart attack, and he was advised to stop smoking. He had successfully stopped smoking for 2 months prior to restarting. He currently smokes 2 packs of Marlboro Menthol Light 100’s daily and lives on a steady diet of microwaveable Salisbury steaks and French fries. Given the acuity of his symptom presentation, neurological imaging via CT (computed tomography) and MRI (magnetic resonance imaging) was performed; imaging was revealing of a thrombus (clot) in the M1 segment of the middle cerebral artery, consistent with a stroke. Given the location of his stroke, would you expect him to have any sensory deficits?
A 57 year old male presented to the Tulane Emergency department at 4:00 AM with the acute onset of right-sided facial drooping, speech slurring, and difficulty with lifting his right upper extremity. Upon presentation, he is unable to communicate with medical staff, as he cannot get any words out; when asked about his birthday, he attempted to speak but was unable to produce any words, but he was able to write his birthdate down correctly when asked to do so. He was unable to lift his right arm, turn his head toward the right side, or
He has a strong history of heart issues, dating back to his 40’s when he suffered from a myocardial infarction (heart attack) which required two stents placed in his left anterior descending (LAD) artery. He was prescribed Plavix (Clopidogrel) and aspirin 80 mg daily after his heart attack, and he was advised to stop smoking. He had successfully stopped smoking for 2 months prior to restarting. He currently smokes 2 packs of Marlboro Menthol Light 100’s daily and lives on a steady diet of microwaveable Salisbury steaks and French fries.
Given the acuity of his symptom presentation, neurological imaging via CT (computed tomography) and MRI (magnetic resonance imaging) was performed; imaging was revealing of a thrombus (clot) in the M1 segment of the middle cerebral artery, consistent with a stroke.
- Given the location of his stroke, would you expect him to have any sensory deficits?
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