Clinical Case Database / Category: Clinical Care

Management of acute stroke

Publication details

Dr Katherine Athorn MBChB MRCP, Joanna Corrado, Dr Oliver J Corrado MBChB FRCP(Lond)
Foundation Years Journal, volume 2, issue 6, p.281 (123Doc Education, London, July 2008)

Abstract

An 80-year-old woman was found lying on the floor by her daughter and when the paramedics arrived, her eyes were deviated to the left, she had a right-sided hemiparesis, with a Medical Research Council (MRC) grade 1/5 weakness of the upper and lower limb and she was aphasic. There was no evidence of head injury. She was in sinus rhythm with a rate of 80 beats per minute, blood pressure of 170/100mmHg and capillary glucose of 5.7mmol/L. There were no bruits or murmurs audible on examination and she had no abnormalities on respiratory or abdominal examination. You are called to assess the patient in the emergency department.

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Authors

Dr Katherine Athorn MBChB MRCP

SpR Geriatric Medicine
Leeds General Infirmary
Great George Street
Leeds
LS1 3EX

Joanna Corrado

Year 4 Medical Student
University of Manchester Medical School

Dr Oliver J Corrado MBChB FRCP(Lond)

Consultant Physician
Leeds General Infirmary and
Director of the West Yorkshire Foundation School

References

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14. Stroke Unit Trialists’ Collaberation 1997. Collaborative systematic review of the randomised trials of organised inpatient (stroke unit) care after stroke. BMJ 1997 314:1151-1159

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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