Clinical Manifestations Describe the clinical manifestations present in Mrs. T., focusing on what is normal and abnormal and how this relates to her current condition.

Subjective Mrs. T. experienced sudden onset right-sided weakness, facial droop, speech impairment, and confusion, indicating a neurological event. Objective Mrs. T. presented with a BP of 184/92, HR 101, RR 24, Pox 99%, NIHSS score of 12, indicating severe neurological

Case Study Mrs. T. The acute episode Mrs. T. experienced at work presents as a sudden onset of rightsided weakness, facial droop, and speech impairment—classic signs of a stroke. Her risk factors for stroke include uncontrolled hypertension (BP 184/92), hypercholesterolemia (elevated cholesterol and triglycerides), smoking, and possibly her birth control pill usage, which can increase the risk of blood clots. The positive FAST & VAN score and NIHSS of 12 further indicate a severe stroke. The normal CT head rules out hemorrhage but does not dismiss the possibility of an ischemic stroke, which might not show immediately on imaging. The INR of 0.7 might suggest a potential bleeding risk, possibly due to the use of Pravastatin or interactions with other medications. The weight gain, unhealthy lifestyle habits (smoking, alcohol consumption, fast food), and lack of regular exercise contribute to her risk factors for cardiovascular diseases. In this scenario, immediate attention is crucial. Mrs. T. needs prompt intervention to restore blood flow to her brain. Thrombolytic therapy might be considered if not contraindicated due to her recent normal CT findings, but consultation with a neurologist is imperative. A comprehensive evaluation of her medication regimen is necessary to ensure no adverse interactions or contraindications between her current medications and any new interventions. Finally, Mrs. T.'s presentation aligns with an acute ischemic stroke, demanding immediate medical attention, and comprehensive management to mitigate risk factors and promote recovery.