• Image-1455

  • Cheryl
    Client ID 043

  • Name:
    Alice
    Age:
    58
    Primary Diagnosis:
    R CVA with respiratory failure s/p craniotomy
    Gender Identity:
    Female
    Insurance: 
    BCBS
    Pronouns:
    She/her/hers
    Referring Physician: 
    K. Leary, MD
    Race/Ethnicity:
    White

  • History of present illness:
    58yo WF brought to ER when found unresponsive in the morning by her husband. She was last seen well at 10pm night before. On presentation she was noted flaccid on the right side, found to have a right hemorrhagic stroke and immediately intubated. Pt was intubated and unresponsive. Husband at bedside.

    Past medical history:
    History of low back pain. A few months prior to stroke, she was found to be slightly lethargic and went to PCP who referred her to a cardiologist. Echo at that time indicated the diagnosis of A-Fib. Recently started on a beta blocker.

  • Marital status: Married to husband Joe for 30 years.

    Primary language: English

    Prior level of function: Independent, healthy, and active

    Play/leisure/interests: Competitive tennis player, artist, painter. Mom to two grown children. Loves horses.

    Environmental factors: Lives in her home of over 20 years with husband and family. Husband is the primary caregiver and will care for Cheryl. Daughter is an OTA.

  • Intubation with trach placement
    PEG tube
    CT scan
    PT/OT/Speech Stroke protocol
    OOB
    Aspiration precautions

  • Beta Blocker, anticoagulant medication

  • CT brain: Large right intraparenchymal hemorrhage with surrounding vasogenic edema. Small areas of subarachnoid hemorrhage in the right temporal lobe in the high convexity of the L parietal lobe. Multiple areas of acute infarct noted noted within portions of the right frontoparietal region, right basal ganglia, right frontal lobe, mesial temporal lobes and brainstem.

  • Disclaimer: Although the individuals in ICE videos are real patients, the exact history has been altered to protect their identities.

  • Should be Empty: