Question

Case: 65M presents to the ED with complaints of R hand weakness and difficulty speaking which had lasted a few hours, and resolved entirely before arrival in the ED. + smoking with 30 pack-year hx. Takes enalapril, simvastatin, and metformin for HTN, HL, and type2 DM.

Answer 1

The case of a 65-year-old man presenting with symptoms of a transient ischemic attack represents a medical situation, specifically in the subject of Medicine, at the college level.

Step-by-step explanation:

The case describes a 65-year-old male with a history of smoking, hypertension (HTN), hyperlipidemia (HL), and type 2 diabetes mellitus (DM), who presented to the Emergency Department (ED) with a transient episode of right hand weakness and difficulty speaking, symptoms that are suggestive of a transient ischemic attack (TIA). The patient's symptoms resolved before arrival at the ED, but given his past medical history and risk factors, it is crucial to conduct a thorough examination and consider further diagnostic imaging, such as a CT scan, to rule out any potential causes such as a stroke. Additionally, the patient's management may include initiating or adjusting current treatment regimens for his chronic conditions and possibly starting medications, like aspirin, to prevent future cardiovascular events.