Case Study On Stroke Patient

Case Study on Stroke Patient
Time and date of arrival: April 5th, 2011 @ 10:24am Place of arrival: ER Name: Tyrone Williams Age: 66 Gender: Male Race: African American Symptoms and complaints reported: Abrupt loss of vision and difficulty speaking. Reported sudden loss of strength and coordination (mostly in left side) accompanied by loss of balance. 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 in apartment alone. Works full time as sales executive for Sears Department Store. Physical assessment: High blood pressure of 130/95. High cholesterol. Overweight (height is 5,11 @ 275lbs. Pulse is 95bpm. Temperature is 98.8 C. Respiratory rate is 18. Patient is somewhat confused and suffers from blurred vision, slurred speech and loss of balance. Tests: CT scan and MRI reveal a thrombus clot in the right side of the brain. Physical exam and reflex exam not to full potential. Muscles respond weakly. Left side responds worse and more slowly than right side of body. Neurological exam: abnormal. No ischemia. Diagnosis: Thrombus clot stroke. Planning and Implementation: Anticoagulant medication and counseling for improvement of lifestyle (i.e. eating habits). Evaluation: Patient discharged home with anticoagulants as a permanent prescription after being closely monitored in the hospital for two days. Informed patient to rest, relax and call hospital immediately if symptoms occur again. Patient also put on a strict, healthy diet. Follow-up visit in one week.
Saturday, 29 October is World Stroke Day Every six seconds, regardless of age or gender someone somewhere will die from stroke. This, however, is more than a public health statistic. These are people, who at one time, were someones sister, brother, wife, husband, daughter, son, partner, mother, father friend. They did exist and were loved. Behind the numbers are real lives. The World Stroke Organization (WSO) is calling for urgent action to address the silent stroke epidemic by launching the 1 in 6 campaign on World Stroke Day, 29 October 2010. WSO looks forward to working with its members and partners in getting the message across that stroke can be beaten. The objective of the campaign is to put the fight against stroke front and center on the global health agenda. The 1 in 6 theme was selected by leaders of the WSO to highlight the fact that in todays world, one in six people worldwide will have a stroke in their lifetime. Everyone is at risk and the situation could worsen with complacency and inaction. The 1 in 6 campaign celebrates the fact that not only can stroke be prevented, but that stroke survivors can fully recover and regain their quality of life with the appropriate long-term care and support. The two-year campaign aims to reduce the burden of stroke by acting on six easy challenges: 1. Know your personal risk factors: high blood pressure, diabetes, and high blood cholesterol. 2. Be physically active and exercise regularly. 3. Avoid obesity by keeping to a healthy diet. 4. Limit alcohol consumption.
5. Avoid cigarette smoke. If you smoke, seek help to stop now. 6. Learn to recognize the warning signs of a stroke and how to take action. Stroke is the second leading cause of death for people above the age of 60, and the fifth leading cause in people aged 15 to 59. Stroke also attacks children, including newborns. Each year, nearly six million people die from stroke. In fact, stroke is responsible for more deaths every year than those attributed to AIDS, tuberculosis and malaria put together three diseases which have set the benchmark for successful public health advocacy, capturing the attention of the worlds media and which consequently has provoked world leaders, governments and many sectors of civil society to act. Stroke is indiscriminate and does not respect borders. Individual countries cannot address the challenges of stroke in isolation. World Stroke Day brings together advocacy groups, patient survivor support networks, volunteer stroke societies, public health authorities, physicians, nurses and others within the allied health professions including civil society at-large, for a collaborative approach to comprehensive stroke education, advocacy, prevention, treatment and long-term care and support for stroke survivors.
Stem Cell Case Study : SCI T11 Near Complete

Name: Mohammed Ali Age: 34 Country: Egypt Occupation: Accountant Diagnosis: Spinal Cord Injury T 11 near complete Date of injury: September 2010 Cause of injury: Gun shot
Background
Mohammed suffered a gun shot attack in September 2011. The injuries he sustained resulted in the fracture of spine and lamina of T11 with intrdural foreign bodies (many bullet fragments) in the posterior paravertebral musculature. Within 24 hours after the injury Mohammed received decompressive laminectomy, debridement and removal of the fragments around the cord which has been found to be nearly totally transected with dural repair. Mohammed was admitted in our department for stem cell therapy for sci in November 2011.
Stem Cell Treatment Plan
Since MRI was not possible due to residual metal fragments of the bullet in the spinal cord, our medical team opted for interventional therapy instead of the CT guided intraspinal procedure. The stem cell treatment plan consisted of two rounds of stem cell transplant via lumbar puncture and one time transplantation via angiography (interventional therapy). As supplementary treatment Mohammed received daily neurotrophic factors via intravenous injections and physical therapy.
Before treatment
Paralysis in the lower limbs
Slight sensation (only for pressure) below navel Ability to sit for 10 minutes with strong pain around the waist area Inability to sit without using his hands, no balance, no waist power Loss of bladder and bowel control Sexual dysfunction

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Case Study on Stroke Patient

Stem Cell Case Study : SCI T11 Near Complete

Stem Cell Treatment Plan

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