Stroke: Case Study

Introduction

This case study forms part of the Stroke Course

History of Presenting Condition

Michael is a 61 year old Senior Partner in a Law Firm. While eating breakfast Michael experienced sudden onset slurring of speech, had facial droop on his left hand side with weakness in left side upper and lower limbs. Michael's wife Mary spotted these sudden onset of symptoms and immediately called for an ambulance, which arrived within 15 mins.

Past Medical History

Asthma - Dx Aged 8

Hypertension Grade 1 - Dx 5 years ago

Prediabetes - Dx 3 years ago

Medication History

Seretide Accuhaler

Ventolin (As Required - Not Required for over 1 Year)

Thiazide

Social History

61 Year Old Senior Partner at a Law Firm, recently reduced working hours 20 - 30 hours per week, previously worked 50 - 60 Hours

Planning on retirement in 1 - 2 years

Lives in a Bungalow with his wife Mary, who is a recently Retired Teacher.

2 Adult Children, both married with their own children - 1 lives close by, the other lives overseas.

Lifestyle Changes implmented over past 2 - 3 Years foloowing Dx Prediabetes.

Outside work he enjoys golf, usually playing at least 2-3 per week. Also enjoys playing Bridge with Friends.

Took up walking 3 Years ago following Dx Prediabetes. Walks 5 - 6 days per week for between 30 - 45 mins

Ex-Smoker - Hx Smoking 30 Years x 10 - 15/day - Quit 3 Years ago following Dx Prediabetes

Social Beer Drinker 10 - 15 Standard Drinks per week with 3 - 4 per session, although sometimes after Golf may be more.