solved

Question
Answered step-by-step
Asked by chantert72

Im looking for the correct differential diagnosis.

A 45 y/o female who has complained of fatigue and some weakness of the right arm two months ago but symptoms subsided some, but a few days ago her arm became numb and tingly. Denies headache.  History of hypertension and taking aspirin for a few months. On exam is positive for Pupils are unequal. Right pupil is reactive to light and normal. Left pupil is large, and slow reactive to light. Cranial nerves IV-XII intact except cranial nerve II & III demonstrate a left sided afferent pupillary defect.
Normal balance. Ocular motor test is abnormal, shows some nystagmus of left eye.
Negative for involuntary movements of fibrillations, fasciculations, asterixis, tics myoclonus, dystonia’s, chorea, athetosis, hemiballismus, nor seizures.
point to point test of arms and legs is normal.

Normal blood pressure.
The Right upper extremity has impaired light touch, pain perception, vibration, and position sense. The remainder of the right side and the left side is normal. Negative Phalen’s sign, negative Tinel’s sign. Optic nerve on left has edema and pale the right is normal.

 

patient works as a labor lifting items throughout the day, father has history of stroke and hypertenson

 

i’m thinking a cerebral hemorrhage, CVA… Im unsure

 

SCIENCE
HEALTH SCIENCE
NURSING
NRNP 6531

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."