a-60-year-old-man-complaining-of-slurred-speech-and-left-leg-paralysis

History

A 60-year-old man presents to emergency room complaining of 30 minutes of slurred speech and left leg paralysis. There is no history of lung or heart abnormality or cerebrovascular disease. Patient has history of high blood pressure and is taking anti-hypertensive medication resulting in normal office BP on multiple occasions.

Use the 'auscultation' link above to virtually listen to this patient's heart and carotid sounds.

carotid bruit patient history image
Authors and Sources

Authors and Reviewers

Sources

  • Heart Sounds and Murmurs Across the Lifespan (with CD) by Dr Barbara Ann Erickson
    Publisher: Mosby
    ISBN-10: 0323020453; ISBN-13: 978-0323020459
  • Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
    Elsevier-Health Sciences Division
    Barbara A. Erickson, PhD, RN, CCRN
  • Heart and Lung Sounds Reference Guide
    PracticalClinicalSkills.com
  • Heart Sounds Made Easy with CD-ROM: (with CD-ROM) 2nd Edition
    Anthony P. Salmon
    ISBN-13: 978-0443069079
  • NCBI Review of Heart Sounds and Murmurs: A Practical Guide
  • The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds And Murmurs Jonathan Keroes, David Lieberman
    Publisher: Lippincott Williams & Wilkin)
    ISBN-10: 0781784425; ISBN-13: 978-0781784429
  • Ventricular Function Curves in the Exercising Dog
    JONATHAN KEROES , ROGER R. ECKER , and ELLIOT RAPAPORT
    Circulation Research, Vol. 25, No. 5
  • Electrocardiographic changes associated with ritodrine-induced maternal tachycardia and hypokalemia American Journal of Obstetrics Gynecology, VOLUME 154, ISSUE 4, P921-923, APRIL 01, 1986
    Susan K Hendricks, MD, Jonathan Keroes, MD, Michael Katz, MD
  • The_Virtual_Cardiac_Patient_A_Multimedia_Guide_to_Heart_Sounds_and_Murmurs A Multimedia Guide to Heart Sounds and Murmurs
    January 2007 JAMA The Journal of the American Medical Association 297(2):217-218
    DOI:10.1001/jama.297.2.217. M. Saleem Seyal, MD, Reviewer
  • Clinical Heart Disease W Proctor Harvey, MD
  • Clinical Heart Disease
    Laennec Publishing; 1st edition (January 1, 2009)

A 60-year-old man complaining of slurred speech and left leg paralysis






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