Question

Chronic Afib develops aphasia and R hemiparesis at noon. ER exam notes weakness of R extremities and severe dysfluent aphasia, but CT at 1:30 PM has no acute lesion. Most appropriate treatment:

Answer 1

The most appropriate treatment for a patient with chronic atrial fibrillation (Afib) who develops aphasia and right hemiparesis is anticoagulation therapy, such as aspirin therapy. It is important for the patient to receive timely medical intervention to prevent further complications and may require specialized stroke management and rehabilitation services.

Step-by-step explanation:

The most appropriate treatment for a patient with chronic atrial fibrillation (Afib) who develops aphasia and right hemiparesis is anticoagulation therapy. Afib can increase the risk of blood clots forming in the heart, which can then travel to the brain and cause a stroke. Anticoagulation therapy, such as aspirin therapy, helps to prevent blood clots and reduce the risk of stroke in patients with Afib.

It is important for the patient to receive timely medical intervention to prevent further complications. The symptoms of aphasia and right hemiparesis may indicate that a stroke has occurred, even if a CT scan does not show any acute lesions. In such cases, the patient may benefit from further diagnostic tests, such as magnetic resonance imaging (MRI), and may require specialized stroke management and rehabilitation services.

Overall, the treatment plan for a patient with chronic Afib who develops aphasia and right hemiparesis should involve anticoagulation therapy to prevent stroke, close monitoring, and appropriate follow-up care to address any ongoing neurological deficits.