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Question: hi zookal could you pls help case of over...

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HI Zookal,

Could you pls help ? 

Case of over 80-year-old woman who went to the emergency department with what is thought to be an ischemic stroke. She has a past history of recent Flu, pneumonia, smoker, Diabetes mellitus type II, (T2DM) L) Diabetic foot ulcer, Unstable angina obesity, osteoarthritis, osteoporosis, hypertension, Rheumatoid Arthritis, Hypercholesterolemia, Hysterectomy, recent UTI and Right Total Knee Replacement

  • Medications
    • Metformin 850mg orally
    • Gliclazide 80mg orally daily in morning
    • Simvastatin 40 mg orally at night
    • Methotraxate 10mg orally Saturday’s only
    • Hydroxychloroquine 400mg orally daily
    • Folate 5mg orally daily
    • Indapamide 2.5mg orally daily
    • Perindopril 10mg orally daily in morning
    • Colecalciferol 25 mcg orally daily
    • Tramadol 50 orally or intravenously four times a day as required 
    • Paracetamol 1g orally four times a day
    • Fentanyl patch 12mcg transdermal third daily
    • Esomeprazole magnesium 20mg orally daily in morning
    • Caltrate 600mg orally daily in morning
    • docusate sodium 50 mg/Sennoside 8 mg tablet orally twice a day
  • Intro Outline the findings of the case without any specific signs and symptoms.

    Body needs to be divided into three (3) main parts for each of the two conditions:

    • Ischemic stroke: In relation to the case scenario, identify
      • Isabella’s Risk factors 
      • Isabella’s possible presenting signs and symptoms
      • Pathophysiological changes related to ischemic stoke
    • Diagnostics:
      • Discuss the rationale for the first diagnostic test that should be ordered in for Isabella stroke.
      • Outline what this test is looking for and how it relates to the diagnosis of this condition
    • Identify one Pharmacological treatment for acute ischemic stroke:
      • Name the treatment, its rationale for choice (evidence), Mechanism of action,
      • Contraindications, Adverse reactions and Appropriate route/ dosages/Length of treatment 

    The Conclusion should reiterate main findings and outline limitations.

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