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Old 08-15-2011
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Neuro Sudden Temporary Hemiparesis!

A man sitting next to you at dinner suddenly goes limp along his entire left side, appears unable to speak, and seems disoriented. A few moments later, he recovers from the episode, but is unsure whether or not to seek medical attention. What was he likely suffering, and would you recommend that he go to the emergency room?
A. He is probably suffering from acute onset of Guillain-Barre, and should go to the emergency room.
B. He was just faking it; he should keep eating his steak and potatoes.
C. His symptoms indicate dysfunction of the upper spinal cord, and he should go to the emergency room.
D. He probably has dementia, and this is normal behavior for him.
E. He has likely suffered a transient ischemic attack, and should go to the emergency room.
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Old 08-15-2011
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Default E) he suffered tia shoulg go to ER

He's suffered TIA should go to ER

TIA(transient ischemic attack)-->To prevent ischemic sroke he must go to ER,thrombus dislodging into a vessel can cause stroke..

Last edited by drgsarunprasath; 08-15-2011 at 08:54 AM.
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Old 08-15-2011
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i m with E
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Old 08-15-2011
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E) Transient Ischemic Attack
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Old 08-15-2011
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its E ....TIA
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Old 08-15-2011
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I think its E
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Old 08-16-2011
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Default

The correct answer is E.
Transient ischemic attacks are short-lived strokes. The occlusion to blood flow is resolved and the patient regains function since no neurological tissue has died. Dementia is characterized by a slow decline in function. Guillain-Barre is slow onset, beginning with the peripheral nerves. While aphasia can be mistaken for dysarthria, patients with dysarthria can make sounds. This patient is unable to speak at all, is disoriented, and has motor involvement of his entire left side, indicating involvement of the cortex. There is no indication that this patient is "faking it."
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