RT Book, Section
A1 Lotano, Ramya
A1 Shingala, Hiren
A2 Lee, Kiwon
SR Print(0)
ID 1101645213
T1 Deep Venous Thrombosis and Pulmonary Embolism
T2 The NeuroICU Book
YR 2012
FD 2012
PB McGraw-Hill Education
PP New York, NY
SN 9780071636353
LK neurology.mhmedical.com/content.aspx?aid=1101645213
RD 2024/04/18
AB A  68-year-old  man  with  a  history  of  hypertension,  type  2  diabetes  mellitus,  and  coronary  artery  disease  presents  to  the  emergency  department  at  6:45  pm  with  sudden  onset  of  right-sided  weakness  and  difficulty  swallowing  and  speaking.  The  patient's  wife  reports  that  the  symptoms  started  at  6  pm.  He  was  last  noticed  to  be  asymptomatic  at  5  pm.  He  was  brought  to  the  emergency  department  by  family  members.On  arrival  to  the  emergency  department,  his  vital  signs  were  as  follows:  blood  pressure  180/100  mm  Hg,  heart  rate  120  bpm,  and  respiratory  rate  6  to  8  breaths/min.  He  had  flaccid  right  upper  and  lower  extremities.  An  emergent  computed  tomography  (CT)  scan  of  the  head  did  not  show  an  acute  intracranial  hemorrhage.  Tissue  plasminogen  activator  (tPA)  was  given  per  protocol  and  he  was  admitted  to  the  intensive  care  unit  (ICU).