The Pressure Cooker: Hypertension and Hemorrhagic Stroke

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Mr. W. ID � 55 year old male, smoker, lives with spouse and 2 daughters, works as a custodian HPI � developed severe headache in am � became drowsy, confused and developed an unsteady gait when walking � Presented to ER with ↓ LOA but rousable to speech and � continuing to complain of severe headache Mr. W.’s spouse reports he had not been taking any of his antihypertensive medications for more than a month
Past Medical History � Hypertension diagnosed in 2005 � Hypertensive crisis treated in fall 2008 � Psoariasis Medications � Norvasc 15 mg po daily � Metoprolol 100 mg po bid � Ramipril 10 mg po daily � HCTZ 25 mg po daily � Terazosin 2 mg po qhs
Page 1 and 2: The Pressure Cooker: Hypertension a
Page 3 and 4: Intracerebral Hemorrhage � �
Page 5 and 6: Most Common Sites and Sources of In
Page 7 and 8: � ICH is dynamic � � Hematoma
Page 9 and 10: Hypertension and the Vessel � �
Page 11 and 12: � During the second visit � �
Page 13 and 14: � � Ambulatory BP monitoring -
Page 15 and 16: Lifestyle Modification � � �
Page 17: Case Study
Page 21: Investigations � CT head showed I
Page 25: � � � � Mr. W was admitted
Page 29 and 30: PT initial assessment � � �
Page 31 and 32: OT initial assessment � � �
Page 33 and 34: Social Work Issues � � Regardin
Page 35 and 36: On Admission to Rehabilitation �
Page 37 and 38: Strategies Recommended-Fatigue �
Page 39 and 40: Mobility � � Altered ambulation
Page 41 and 42: Strategies Implemented: Balance & S
Page 43 and 44: Gait Retraining & Endurance Trainin
Page 45 and 46: Community Reintegration � Referra
Page 47 and 48: � Most recent ER visit: � �
Page 49 and 50: Thank you Questions
Page 51 and 52: Mitchell, P., Dipayan, M., Gregson,
Page 53: Thrift, A., McNeil, J., Forbes, A.

The Pressure Cooker: Hypertension and Hemorrhagic Stroke

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