00:00
I'm across the street at Centerra.
00:01
I've got a 65, 65 year old male.
00:05
History of CVA, no known deficit from it.
00:10
Family called for concerns of right facial droop.
00:13
There's maybe slight droop when he is faces at rest, but whenever he smiles, there is.
00:19
No arm grip strength is normal.
00:22
They also say speech is abnormal.
00:26
It's been going on and off for the last six months.
00:28
History of repeat TIAs for the family member.
00:34
I'm working on a sugar and an IV and I'll see you guys in about 2 min .
00:39
Blood pressure is 120 over 72,
00:42
86 on the heart rate, 100% on four liters, which is baseline.
00:46
Respirs are 24 inside of.
00:48
He just got done with antibiotics for pneumonia.
00:51
Do you have any questions?
00:54
Did they tell you when this facial droop and abnormal speech started besides the six months ago thing?
01:03
I believe they said the facial droop started 1st .
01:09
So the patient said the 1st time the facial droop started was a year ago.
01:14
However, I believe this episode started today, and then the speech changes have been ongoing since yesterday, if you believe.
01:25
The last known well from the nurse will be 0930 .