Earl Flannigan is 68 year-old right-handed Caucasian male who had the sudden onset of symptoms (last known normal) 1 hour prior to evaluation in the Emergency Department. The patient is found to have right sided weakness and unable to speak clearly. He has a history of hypertension and hyperlipidemia, taking medications for both. Learners should be provided with laboratory studies, EKG (normal), and CT scan to review when asked. Patient should be on cardiac telemetry and intermittent BP monitoring.
1. Identify symptoms associated with ischemic stroke.
2. Localize neurologic symptoms to the left cerebral hemisphere in the middle cerebral artery vascular territory.
3. Successfully complete an NIHSS Examination and correctly score it.
4. Recognize acute ischemic changes on CT scan.
5. List the inclusion and exclusion criteria for intraarterial tPA
6. Summarize the management of a large territory acute ischemic stroke
7. Complete the evaluation and assessment of an acute ischemic stroke patient within an acceptable time frame
Nurse Practitioner, Physician, Physician Assistant
Mayo Clinic Phoenix
Emergency medicine, Neurology
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