Week 8 Case Study –Neurological Problems

George is a 59-year-old lawyer who presents to the emergency room with weakness and numbness of his right side that began while playing golf this morning. George says he had an unusual headache when he first woke up, but he was looking forward to golf and the headache was not bad enough to prevent him from golfing. While on the golf course, George suddenly had an episode of weakness. After this weakness, George realized he could not move his right side, could not speak, fell off his seat in the golf cart, and could not get up. George’s friends called 911 to bring him to the emergency room. This episode with neurological deficits has lasted longer than 1 hour and persists while the patient is in the emergency room. George has a history of hypertension, diabetes mellitus type 2, and 30-pack-years of smoking.

Case Questions

1. What should the initial history and physical examination include? (make a list of the interventions that would be performed on examination of this patient)

2. What are the differential diagnoses for this patient?

3. What is the most likely diagnosis for this patient? Explain your answer.

4. What treatments will be used for the initial management of the patient’s condition?

5. What factors are contraindications for thrombolytic therapy?

6. What are the goals in stroke management?

Discussion Board Rubric

Grading Elements

2

1

0

Initial Post Requirements

Post by due date at 2359 CST. This is respectful behavior to allow fellow students in the course time to read your initial post and formulate a highly synthesized response and meet the reply post due date/time.

Posted one day late at 2359 CST.

Posted two days late at 2359.

Initial Post Content

Demonstrates synthesis of issues/content presented for the discussion week by significantly contributing to the quality of discerning ideas, and/or provides insightful interpretations and analyses of the content presented for the week, and/or stimulates further discussion by providing a new perspective.

Demonstrates in depth understanding of issues/content presented for the discussion week by providing a summary of the content presented for the week.

Demonstrates minimal understanding of issues/content presented for the discussion week by providing a brief answer to the discussion board question.

Initial Post Support

Provides support for discussions with at least 2 current scholarly references, one of which may include the assigned text. Uses APA 7th edition format for citations and referenceswithin last 5 years.

Provides support for discussions with at least 1 current scholarly references, one of which may include the assigned texts. Uses APA 7thedition format for citations and references within last 5 years.

NO support.

Initial Peer Response Requirements

Posted by due date at 2359 CST.

Posted one day late at 2359 CST.

Posted two days late at 2359 CST.

Initial Peer Response Content

Significantly adds to the discussion demonstrated by synthesizing key elements and adds further analysis of peer’s post. Respectfully adds a different perspective/critique of the peer’s post for healthy debate of the content presented for the week. Uses scholarly references in APA 7th edition format where applicable.

Adds to the discussion with in depth summary of key elements of peer’s post and highlights key elements of the post. Does not add a new perspective/critique. Uses scholarly references in APA 7thedition format where applicable.

Provides only a brief summary of peer’s post.

Spelling/Grammar/APA

Less than 10spelling/grammar/APA errors.

Less than 15spelling/grammar/APA errors

More than 15spelling/grammar/APA errors

Follow-up to peer responses (purpose is to maintain some dialogue on the topic during the week)

Significant response to either peer or faculty with referencing optional but the post needs to continue adding new perspective/critique to maintain open discussion of topic.Uses scholarly references in APA 7thedition format where applicable.

Response to peer is a summary with no new perspective/critique. Uses scholarly references in APA 7thedition format where applicable.