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The Review of Transient Ischemic Attack Patients Essay

The Review of Transient Ischemic Attack Patients Essay

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Transient Ischemic Attack

Introduction

Stroke has been a medical emergency for a long time that requires quick and well-designed responses from medical practitioners to save the patient’s life and prevent the patient from developing severe complications. Brain functions are myriad and involve crude and delicate activities of the body. Loss of brain function for a few minutes due to reduced perfusion could manifest with symptoms such as loss of speech, breathing loss, irregular heart functions, and loss of musculoskeletal activities such as gait (Çoban et al., 2020). This paper explores the neurological and musculoskeletal pathophysiology of a case scenario involving a 72-year-old woman who experienced an acute onset of slurred speech, lethargy, and impaired motor functions. Secondly, the study will extend to cover the effects of racial and ethnic variables affecting the physiological function of the patient’s brain. The Review of Transient Ischemic Attack Patients Essay

Neurological and Musculoskeletal Pathophysiology

The patient presented with remarkable signs and symptoms, such as slurred language, lethargy, and motor deficit, showing a neurological defect. The CT scan report showed an old left-sided infarct in the temporal region. The infarct indicated a possible incidence of backdrop-causing cerebrovascular accidents. Secondly, the CT of the carotids also shows significant blockages in the carotid artery, which is suggestive of impeded blood flow to the brain. Poor or reduced blood flow to the brain has been the primary hallmark of the pathophysiology of stroke development (Perry et al., 2022). Thirdly, based on the patient’s history of a previous stroke and the recurrent nature of similar symptoms show that the patient has a chronic cerebrovascular disease. Impaired neuronal functions then clearly reflect the loss of speech, motor function, and neurologic status impairment. The Review of Transient Ischemic Attack Patients Essay

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Racial and Ethnical Impacting on Brain Physiological Function

A comprehensive analysis of the patient’s situation cannot be complete without an insight into racial and ethnic variables. Some studies suggest that specific racial and ethnic groups have a more robust hereditary background toward developing cardiovascular diseases. The underlying ethical and racial variation in physiology may be attributed to genetics, socioeconomic status, and cultural practices (Severino et al., 2020). The patient’s racial background and genetic predispositions that can lead to her developing vascular diseases should be taken into account when offering patient-based care.

The integration between neurological and musculoskeletal processes in the patient’s clinical picture is marked by slurred speech, lethargy, and motor impairment. The neurological sequelae are initially caused by poor blood flow from blocked carotid arteries (Lemale et al., 2022). The previous stroke, along with the recent vascular events, provides a total effect of damaging neurological function. It affects the musculoskeletal system based on difficulty staying upright and a noticeable slump to the right side from poor motor control. Additionally, the repetition of stroke attacks merely underscores how chronic a patient’s condition is, with progressive damage applicable to both neurological and musculoskeletal fields. The Review of Transient Ischemic Attack Patients Essay

Conclusion

The case study gives a rightful insight into the complex neurological and musculoskeletal pathophysiological interaction in a patient with a history of cerebrovascular events. Considering racial and ethnic factors is crucial to getting a comprehensive picture of the patient’s condition. The interplay between brain-damaging processes illustrates the chronic nature of the disease and stresses a holistic approach to handling neurological and musculoskeletal aspects for better patient outcomes. The Review of Transient Ischemic Attack Patients Essay

References

Çoban, E. K., Senadım, S., Yılmaz, A., Küçükoğlu, H., Köksal, A., Ataklı, D., & Soysal, A. (2020). The review of transient ischemic attack patients: An experience of a clinic about diagnosis and follow-up. Şişli Etfal Hastanesi Tip Bülteni54(1), 83-87.

Lemale, C. L., Lückl, J., Horst, V., Reiffurth, C., Major, S., Hecht, N., … & Dreier, J. P. (2022). Migraine Aura, transient ischemic attacks, stroke, and dying of the brain share the same critical pathophysiological process in neurons driven by Gibbs–donnan forces, namely spreading depolarization—frontiers in cellular neuroscience16, 837650.

Perry, J. J., Yadav, K., Syed, S., & Shamy, M. (2022). Transient ischemic attack and minor stroke: diagnosis, risk stratification and management. CMAJ194(39), E1344-E1349.

Severino, P., D’Amato, A., Pucci, M., Infusino, F., Adamo, F., Birtolo, L. I., … & Fedele, F. (2020). Ischemic heart disease pathophysiology paradigms overview: from plaque activation to microvascular dysfunction. International journal of molecular sciences21(21), 8118.

Assignment (1- to 2-page case study analysis). The Review of Transient Ischemic Attack Patients Essay

Start with a 1-2 sentence brief introduction followed by stating: The purpose of the paper will be to explain the neurological and musculoskeletal pathophysiological processes. In addition, address racial/ethnic variables impacting physiological function. Lastly, describe how these processes interact to affect the patient.

Within the paper subject headings should reflect APA format and not written in a sentence format.

Subject headings should reflect the following:

Neurological and Musculoskeletal Pathophysiologic Processes Associated with Presenting Symptoms

Racial/Ethnic Variables Impacting Physiological Function

How Processes Interact to Affect the Patient

I will be specifically looking for an article reflective of clinical research published less than 6 years and how the research article relates to the topic of discussion. Needless to say, all cited references are crossed checked for accuracy and reliability. Also, spell out all abbreviations. The Review of Transient Ischemic Attack Patients Essay

Assigned Case Scenario:

A 72-year-old woman is brought to the clinic by her daughter. The daughter reports that her mother had an acute onset of slurred speech that morning, but it resolved within an hour. About an hour later she noted her mother was a lethargic and speechless. When she attempted to get her mother to stand, she panicked when her mother slumped over to the right side and couldnâ€t seem to push herself to an upright position or stand. The daughter reports that her mother had a stroke 2 years ago and exhibited similar symptoms resulting in a 5-day hospital stay followed by intensive rehabilitation where she was able to return to normal functioning. When you see the patient, she is alert, ambulating, and has 4/5 strength bilaterally in the upper and lower extremities. DTRs are 2+ bilaterally. A CT of the head reveals an old left sided infarct within the temporal region. A CT of the carotids reveals a 35% blockage on the left and 40% on the right. Blood pressure is 134/84, P 84, and respirations 18. Labs tests reveal a cholesterol of 306, HDL of 36, and an LDL of 140. The Review of Transient Ischemic Attack Patients Essay

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