Liz Is a Seventy -Year -Old Woman Who Is Both

question 24

Essay

Liz is a seventy -year -old woman who is both a wife and a mother. She is moderately obese (BMI 32), and has smoked a half a pack to a pack of cigarettes a day since she was 16 years old. Liz awakes one morning with weakness on her right side. She is confused, sees double, and has slurred speech. She stumbles and has an awkward gait trying to get to the restroom, where she collapses. Her husband calls 911 and Liz is transported to the hospital.
Upon physical examination, Liz is found to have partial paralysis (hemiparesis) on her right side and diminished sensitivity to a pin prick on her arm and right side of her face. She has difficulty answering questions, speaking only a few words which are slurred and grammatically incorrect. Her ability to respond to verbal commands, whether spoken or written, is not impaired. In addition, her blood pressure is high (148/and a serum lipid profile that was ordered when she first arrived at the hospital has come back with a high LDL and total cholesterol level.
Based on this case answer the following questions:
a) What is a stroke?
b) Describe the mechanisms by which strokes can occur.
c) List the risk factors that predispose an individual to suffer a stroke.
d) List at least three classical signs of stroke
e) What type of aphasia does Liz display? Explain how you came to this conclusion.
f) Based on the historical and physical exam findings, what is the possible cause for Liz's stroke and what specific areas of the brain have been damaged as a result of her stroke?

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Definitions:

Being Entrepreneurial

The act or mindset of identifying and starting new business ventures, especially in areas of high risk or innovation.

Client Information

Data related to customers or clients, including personal and transactional information, used by businesses to provide services.

Group Working

The act of multiple individuals coming together to work on a common task or project.

Immediate Family Members

Those individuals closely related by blood or marriage, typically including parents, siblings, spouses, and children.