HS-111
Medical Report
Purdue Global University
HS 111-01
Medical Report
Mr. Williams, my job is to inform you of all the updates on your mother's condition. I am
here to answer all of the questions that you may have as well. I am very sorry that you and your
family are going through such a tough time. We are completing everything that we can to be of
assistance and help. I am going to go ahead and start from the beginning. Your mother arrived at
our hospital by ambulance on 01-19-2015. Sometime after she was admitted upon arrival, she
was having a difficult time speaking. This impairment is known as Dysarthria (Stoppler, 2021).
She was also experiencing difficulties in swallowing or dysphagia (Dysphagia, 2019) and
hemiparesis on the right, which is paralysis on the right side of her body (Eyvazzadeh, n.d.).
Your mother has a history of hypertension, which is just a term meaning high blood pressure
(High blood pressure (hypertension), 2018) and a history of high cholesterol. Your father
reported that she takes medication daily. There were no apparent problems noted until about an
hour and a half of her being here, then she has been showing some signs that were concerning, of
right facial drooping, and she has been complaining of head pain, which is known as cephalalgia
(What is Cephalalgia, 2018). Your father said that your mother could drink her coffee this
morning without spilling her facial area. He also had stated to us that she was reaching into the
cabinet to retrieve a dish, and that is when her right arm started falling. She sat at the breakfast
, table and fell when she tried to stand and needed help to get off the floor. Shortly after that, she
started to develop ataxia, which means that her coordination started failing her (Ataxia, 2020)
and the numbness on the right side of her body, and the Dysarthria she was experiencing.
"Dysarthria is a motor speech disorder in which the muscles used to produce speech are
damaged, paralyzed, or weakened. The person with Dysarthria cannot control his or her tongue,
larynx, vocal cords, and surrounding muscles, which makes it difficult for the person to form and
pronounce words" (Mayo Clinic, 2020).
During your mother's physical exam, she was aware of the situation going on once she
arrived but was a little confused about where she was. As I previously stated, we did not assess
her walking during the exam since she experienced paralysis of her side (Stubblefield, n.d.). We
discovered when we tested her grip that it was unequal. When tested with light, her right side
pupil was a bit slower to respond. We found her right leg to be limp. Her blood pressure was 180
over 92, which is high, but we could lower it. Her pulse was strong and correct where it should
be at 78, and her breaths were right on track and temperature. We did some labs on her. We did a
chest radiograph, an X-ray to see her internal structures (MedlinePlus, n.d.). We tested her urine
and did a complete blood count to detect disorders and evaluate her health (Cleveland Clinic,
n.d.). We did a PTT, which is a blood test that lets us see how long your mother's blood takes to
clot (Nemours KidsHealth, n.d.) and ran a few other blood tests as well. Your mother's blood
tests showed that her blood is at the acidic level, which means that her blood is more acidic than
it should be and has higher carbon dioxide levels than it should (Daniels, n.d.). Her scans showed
that she did not have excessive bleeding in her head (Choosing Wisely, n.d.). We believed she
needed a consultation with a neurologist, so she met with our on-call neurologist. The
neurologist confirmed that your mother's diagnosis of an ischemic stroke is a stroke that occurs
when blood loss is caused by a blockage somewhere (Ischemic strokes, n.d.).
Medical Report
Purdue Global University
HS 111-01
Medical Report
Mr. Williams, my job is to inform you of all the updates on your mother's condition. I am
here to answer all of the questions that you may have as well. I am very sorry that you and your
family are going through such a tough time. We are completing everything that we can to be of
assistance and help. I am going to go ahead and start from the beginning. Your mother arrived at
our hospital by ambulance on 01-19-2015. Sometime after she was admitted upon arrival, she
was having a difficult time speaking. This impairment is known as Dysarthria (Stoppler, 2021).
She was also experiencing difficulties in swallowing or dysphagia (Dysphagia, 2019) and
hemiparesis on the right, which is paralysis on the right side of her body (Eyvazzadeh, n.d.).
Your mother has a history of hypertension, which is just a term meaning high blood pressure
(High blood pressure (hypertension), 2018) and a history of high cholesterol. Your father
reported that she takes medication daily. There were no apparent problems noted until about an
hour and a half of her being here, then she has been showing some signs that were concerning, of
right facial drooping, and she has been complaining of head pain, which is known as cephalalgia
(What is Cephalalgia, 2018). Your father said that your mother could drink her coffee this
morning without spilling her facial area. He also had stated to us that she was reaching into the
cabinet to retrieve a dish, and that is when her right arm started falling. She sat at the breakfast
, table and fell when she tried to stand and needed help to get off the floor. Shortly after that, she
started to develop ataxia, which means that her coordination started failing her (Ataxia, 2020)
and the numbness on the right side of her body, and the Dysarthria she was experiencing.
"Dysarthria is a motor speech disorder in which the muscles used to produce speech are
damaged, paralyzed, or weakened. The person with Dysarthria cannot control his or her tongue,
larynx, vocal cords, and surrounding muscles, which makes it difficult for the person to form and
pronounce words" (Mayo Clinic, 2020).
During your mother's physical exam, she was aware of the situation going on once she
arrived but was a little confused about where she was. As I previously stated, we did not assess
her walking during the exam since she experienced paralysis of her side (Stubblefield, n.d.). We
discovered when we tested her grip that it was unequal. When tested with light, her right side
pupil was a bit slower to respond. We found her right leg to be limp. Her blood pressure was 180
over 92, which is high, but we could lower it. Her pulse was strong and correct where it should
be at 78, and her breaths were right on track and temperature. We did some labs on her. We did a
chest radiograph, an X-ray to see her internal structures (MedlinePlus, n.d.). We tested her urine
and did a complete blood count to detect disorders and evaluate her health (Cleveland Clinic,
n.d.). We did a PTT, which is a blood test that lets us see how long your mother's blood takes to
clot (Nemours KidsHealth, n.d.) and ran a few other blood tests as well. Your mother's blood
tests showed that her blood is at the acidic level, which means that her blood is more acidic than
it should be and has higher carbon dioxide levels than it should (Daniels, n.d.). Her scans showed
that she did not have excessive bleeding in her head (Choosing Wisely, n.d.). We believed she
needed a consultation with a neurologist, so she met with our on-call neurologist. The
neurologist confirmed that your mother's diagnosis of an ischemic stroke is a stroke that occurs
when blood loss is caused by a blockage somewhere (Ischemic strokes, n.d.).
