Case 6: A 27-Year-Old Woman With Dysarthria

被引:0
作者
Lee, Donghan [1 ]
Jeon, Howook [2 ]
Ahn, Yuran [3 ]
Kim, Hwa Jung [4 ]
Shin, Hae-Eun [5 ]
Koh, Jung Hee [2 ,6 ]
机构
[1] Catholic Univ Korea, Uijeongbu St Marys Hosp, Dept Internal Med, Seoul, South Korea
[2] Catholic Univ Korea, Uijeongbu St Marys Hosp, Dept Internal Med, Div Rheumatol, Seoul, South Korea
[3] Catholic Univ Korea, Uijeongbu St Marys Hosp, Dept Internal Med, Div Cardiol, Seoul, South Korea
[4] Catholic Univ Korea, Seoul St Marys Hosp, Dept Internal Med, Div Cardiol, Seoul, South Korea
[5] Catholic Univ Korea, Bucheon St Marys Hosp, Dept Neurol, Seoul, South Korea
[6] Catholic Univ Korea, Uijeongbu St Marys Hosp, Coll Med, Dept Internal Med,Div Rheumatol, 271 Cheonbo Ro, Uijongbu 11765, South Korea
关键词
VALVULAR HEART-DISEASE; ISCHEMIC-STROKE; RISK-FACTORS; THROMBOPHILIA; ADULTS;
D O I
10.3346/jkms.2023.38.e5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Dr. Donghan Lee: A 27-year-old woman was admitted to our hospital after one day of dysarthria and right arm weakness. The patient had been healthy until one day before admission and was not taking any medications. She denied tobacco use, heavy alcohol consumption, oral contraceptive use, or illicit drug use. The clinical examination was notable for a blood pressure of 215/136 mmHg, a heart rate of 91 beats per minute, a temperature of 37.3ºC, and an oxygen saturation of 98% on room air. The patient’s height was 170 cm, while her weight was 75 kg and her body mass index (BMI) was 26. An electrocardiogram showed that she was in a sinus rhythm. Her right arm motor strength was reduced, but movement against resistance was possible (modified Medical Research Council grade IV). © 2023 The Korean Academy of Medical Sciences.
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页数:8
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