Doc750
transfer:step 3 prison
Topics: 52
Posts: 636
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A 74 yr old woman presents with the abrupt onset of right sided paralysis and numbness, as well as difficulty speaking. Her symtoms have gotten progressively worse over the last 4 hours. Past medical history is significant for HTN and CAD. P.E. reveals a BP of 150/80 mm Hg and a right sided hemiplegia and hemianesthesia. She also has a right homonymous hemianopsia.
What is the most likely DX?
What test will confirm the DX?
What is the treatment of this condition?
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| drdg
Forum Senior
Topics: 31
Posts: 176
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Left MCA occlusion
CT first, then MRI for diagnosis
tPA
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| Doc750
transfer:step 3 prison
Topics: 52
Posts: 636
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1. MCA occlusin
2. CT without contrast to confirm diagnosis. Be aware that CT may fail to show occlusion within the first 24-48 hours.
3. Tx with heparin. Aspirin is recommended for long term tx. Ticlopidine is used if aspirin fails to prevent further strokes.
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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