11.07.2015 Views

Rehabilitation and Community Reintegration

Rehabilitation and Community Reintegration

Rehabilitation and Community Reintegration

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CASE ONE: EMERGENCY ROOM• 76y male comes to ER 20h post a 6h episode of confusion,word finding difficulty <strong>and</strong> mild RUE weakness whichcompletely resolved. Hx of hypertension.• Neurological exam normal. MMSE 27• CT scan: Nil acute.Small lacunar infarcts in R IC <strong>and</strong> L BGMild to moderate cerebral <strong>and</strong>cerebellar atrophy, periventricularwhite matter chronic ischemic change• Initiate usual treatment with ASA, Ramapril <strong>and</strong> Crestor• Arrange holter, echo, carotid dopplers• Referral to VPC <strong>and</strong> follow up with own FP

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