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A 66-year-old woman who arrives in the emergency department after falling in the middle of the night when she tried to get up to go
to the bathroom. She states that she fell because she, could not control her left leg. Her husband brought her to the hospital, but
states that he had a really hard time getting her to the car.
1. What are the possible causes for her acute leg weakness?
2. What type of assessment would be most appropriate for A.J.: comprehensive, focused, or emergency? What would be your priority
assessment?
3. What questions would you ask A.J.?
4. What should be included in the physical assessment? What would you be looking for?
5. What diagnostic studies might you expect to be ordered?
1.
Hemorrhagic stroke
Ischemic stroke
Brain tumor
2.
What type of assessment would be most appropriate for A.J: comprehensive, focused, or emergency? What would be your
priority assessment?
Because time is brain, it is imperative to perform an emergent assessment on A.J. in order to quickly identify if his
symptoms are caused by a stroke, for which treatment within a 3-hour time frame can prevent and/or minimize permanent
damage.
3.
Do you have a history of cardiovascular or neurologic disease, high cholesterol, or high blood pressure?
What medications are you currently taking, including over-the-counter medications? Are you taking your medications on a
regular basis?
4.
What should be included in the physical assessment? What would you be looking for?
Vital signs
Assess mental status, cranial nerves, motor function, and sensory function
Would be looking for symptoms of stroke, such as motor weakness or paralysis, loss of sensation, loss of visual fields, or
impaired communication
5.
Blood glucose
PT/IINR