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Case 13 PDF.pdf - Mabel age 62 is brought to the...

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Mabel, age 62, is brought to the emergency department by her son. Whilevisiting her, he became alarmed when he noticed his mother seemed tohave problems speaking and forming words. The right side of her face alsoappears to be “drooping.”Mabel suffers from a history of atrial fibrillation, high blood pressure, anddiabetes. She is taking anti-hypertensive medications. She used to smokebut she quit 4 years ago. Cardiovascular disease runs in her family. Herfather died of a heart attack at the age of 52.A CT scan rules out a brain hemorrhage.1.What type of stroke is Mabel experiencing?
2.What area of Mabel’s brain appears to be affected?
3.What are some of Mabel’s risk factors for cerebrovascular disease?
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Unformatted text preview: A fib, hypertension, DM, previous smoker, anti-hypertensives, cardiovascular disease family history 4. What role may atrial fibrillation play in Mabel’s case? Stasis of blood increases susceptibility of clot formation in the left atrium. Once formed, clots can travel from the left atrium to the left ventricle into the aorta. From the aorta, the clot can ascend into the common carotid artery to the internal carotid artery and lodge in the middle cerebral artery which leads to brain tissue ischemia > cerebral infarction. 5. Why is the CT scan information important? To rule out hemorrhagic stroke 6. What treatments are available for Mabel? tPA, anti-platelets, thrombectomy...
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