Clinical Case Study Hypertension.

1238 words - 5 pages

Symptoms and complaints reported: Abrupt loss of vision and difficulty speaking. Reported sudden loss of strength and co-ordination(mostly in left side)accompanied by loss of balance. [The patient had suffered a stroke]. Because the clinical manifestations of hypertension cannot be diagnosed, it can only be recognized when complications occur in target organs, such as the heart in this instance.Medical History: Has history of high blood pressure and high cholesterol. Sedentary lifestyle. Heavy smoker. Absence of all other major illnesses noted.Family History: No siblings. Father is a heavy smoker and has had two strokes in the past three years. Mother suffers from obesity. Grandparents died of old age and not of a major illness. No other major illness noted.Social History: No heavy drinking. Smokes 2-3 packs of light cigarettes daily. Sedentary lifestyle. Lives alone. Works full time as sales executive.Physical assessment: High blood pressure of 130/95. High cholesterol. Overweight (height is 180cm at 120kgs. Pulse is 95bpm. Temperature is 36.6C. Respiratory rate is 18. Patient is somewhat confused and suffers from blurred vision, slurred speech and loss of balance.Tests:CT scan (Computed tomography (CT) scans are completed with the use of a 360-degree x-ray beam and computer production of images. These scans allow for cross-sectional views of body organs and tissues. CT scans are used to image a wide variety of body structures and internal organs. Since the 1990s, CT equipment has become more affordable and available. In some diagnoses, CT scans have become the first imaging exam of choice. Because the computerized image is so sharp, focused, and three-dimensional, many tissues can be better differentiated than on standard x rays. Common CT indications include:Sinus studies. The CT scan can show details of a sinusitis, and bone fractures. Physicians may order CT of the sinuses to provide an accurate map for surgery.Brain studies. Brain scans can detect haematomas, tumors, and strokes. The introduction of CT scanning, especially spiral CT, has helped reduce the need for more invasive procedures such as cerebral angiography.Body scans. CT scans of the body will often be used to observe abdominal organs, such as the liver, kidneys, adrenal glands, spleen, and lymph nodes, and extremities.Aorta scans. CT scans can focus on the thoracic or abdominal aorta to locate aneurysms and other possible aortic diseases.Chest scans. CT scans of the chest are useful in distinguishing tumors and in detailing accumulation of fluid in chest infections, and;MRI (Magnetic Resonance Imaging is an examination, which allows the doctor to see detailed images of soft tissues, bone, fat, muscles and internal organs in your body without the use of x-rays. It is a diagnostic examination which provides information not possible with any other means. Frequently this advantage can permit early diagnosis and perhaps eliminate the need for surgical procedures.Brain and Spine.MRI...

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