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I Human Case Week #3 CC: Blood Pressure Lawal T - Assignment 1
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I Human Case Week #3 CC: Blood Pressure Lawal T - Assignment 1
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lOMoARcPSD| 46020670Week #3 I Human Case Study 1 Lawal T - Week 3
Assignment 1
Case Study Assignment: Differential Diagnoses and Diagnostic Testing
Temitope Lawal
Walden University
NURS 6512: Advanced Health Assessment
Doreen N Perkins, DNP, CRNP
09/15/2024
, lOMoARcPSD| 46020670
Case Study Assignment: differential diagnoses and diagnostic testing
The patient presents with slurred speech and significantly elevated blood pressure, which
necessitates a thorough evaluation to identify the underlying cause. Key physical exams include a
neurological assessment, blood pressure monitoring, and a fundoscopic exam, while essential diagnostic
tests involve CT and MRI scans of the brain, along with blood tests. These results will help differentiate
between conditions such as stroke, transient ischemic attack, hypertensive encephalopathy, brain
tumor, or seizure. Timely and accurate diagnosis is crucial for effective management and improving
patient outcomes.
Chief Complaint
The patient's chief complaint is slurred speech, which is a concerning symptom given the
elevated blood pressure reading of 210/100 mmHg. Slurred speech, or dysarthria, can indicate a range
of neurological conditions, and the significantly high blood pressure further raises the suspicion of an
acute vascular event. The combination of these symptoms requires a thorough evaluation to determine
the underlying cause and appropriate management.
Physical Exams and Diagnostic Tests
Physical Exams:
1. Neurological Examination: This should include a detailed assessment of the patient's
cognitivefunction, motor skills, sensory function, and cranial nerves. Specific tests like checking for
asymmetry in facial movement or weakness in the limbs can help localize the neurological deficit. The
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