Neurological- HPI Sharing Forum by Foo Ling Ling https://padlet.com/lingdinho1/3qbzppau5ea0 HPI Sharing - Neurological 1) Group 3 to post scenario by 17 April. 2) Other subgroup to comment using OLDCART technique by 18 April 5 pm. 3) Group 3 to consolidate by 19 April 5pm and share on second class en-us 2019-04-17 07:49:58 UTC 2019-04-22 06:20:11 UTC hello@padlet.com https://padlet.net/icons/png/26e9.png Scenario Neurological https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352226889 Mr Roberts a 56y/o Teacher, complained of drooping over his right side face when he woke up in the morning. Upon examination, noted he was having trouble swallowing and has slurred speech. No other  symptoms seen. No past medical history. NKDA. Not on any medication.
 
BP 150/90mmhg
HR 80
Cholesterol 7mmol/L
LDL 6mmol/L
HDL 1.0 mmol/L


]]> 2019-04-17 08:25:22 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352226889 Does swallowing trouble comes with any pain? https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352227305 2019-04-17 08:28:30 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352227305 does he has any weakness over the right side of the body? right upper limb, lower limb? https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352227405 2019-04-17 08:29:17 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352227405 https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352227983 Any falls before? Took any medications?

]]> 2019-04-17 08:33:53 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352227983 Did you have blurry vision? https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352228231 2019-04-17 08:36:17 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352228231 https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352228528 Any recent fall or head injury before drooping of face occurs in the morning?]]> 2019-04-17 08:38:21 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352228528 was the onset acute or gradual? https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352228693 2019-04-17 08:39:36 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352228693 https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352231499 What time was the last time you notice you were well?]]> 2019-04-17 08:57:49 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352231499 How is your gait? Do you able to balance yourself? https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352235533
Poh Yin

]]> 2019-04-17 09:24:52 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352235533 Sangari https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352236850 Are you taking any TCM?]]> 2019-04-17 09:33:12 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352236850 letchumy https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352237449
Did you seek any treatment before this?]]> 2019-04-17 09:37:34 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352237449 Jamunah https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352251587 any sudden numbness or weakness in the face,arm or leg (especially on side of the body) ?]]> 2019-04-17 11:29:14 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352251587 MOHEN https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352259678 do u smoke or consume alcohol.]]> 2019-04-17 12:14:40 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352259678 Tiffany https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352274370
tell me more about your family medical history, does anyone in your family have history of stroke?]]> 2019-04-17 13:06:50 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352274370 https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352282310 Dose he feel any numbness,stiffness over the right side?
Yangyang]]> 2019-04-17 13:31:15 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352282310 Pearl https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352288052 What were you doing the day before you experience drooping over right side face?]]> 2019-04-17 13:47:18 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352288052 Are u taking any high cholesterol medication previously? https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352332140 2019-04-17 15:42:48 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352332140 Liyana https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352348246 Did you experience any headaches before this?

]]> 2019-04-17 16:28:26 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352348246 https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352440294 does your swallowing difficulty comes along with any other symptoms? 

]]> 2019-04-17 22:11:41 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352440294 Does anyone in your family had experience the same symptoms before https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352457681 2019-04-18 00:57:38 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352457681 Any lost of weight? https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352457810 2019-04-18 00:58:42 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352457810 https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352480227 QinYi

Any tingling sensation when you first felt the drooping over the right side limbs?]]> 2019-04-18 04:05:29 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352480227 sumitha https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352494349 Are you taking any medicine for high cholesterol and high Bp? ]]> 2019-04-18 06:26:32 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352494349 Shirley https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352495225 Do you experience any episodes of seizures or hearing loss before this? ]]> 2019-04-18 06:33:23 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352495225 Talmin https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352495894 Are you able to see properly? ]]> 2019-04-18 06:38:44 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352495894 ANITHA https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352588375 Does he feel any head ache or nausea?

]]> 2019-04-18 15:31:36 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352588375 https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352692310 Is it having any weaknesses and numbness over right side of body?]]> 2019-04-19 00:56:50 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352692310 https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352742781 what do you eat on your daily meals / what do you normally eat?]]> 2019-04-19 12:44:48 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352742781 Barbara https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352828056 The difficulty of swallowing and slurred speech symptom is continously or intermittent?]]> 2019-04-20 02:39:31 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352828056 Lezter https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352837833 do you have any facial twitching as well]]> 2019-04-20 06:29:32 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352837833 Ting Li https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352904650 Do you have any past medical history? What medications are you taking currently]]> 2019-04-21 07:34:27 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352904650 Ween https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352918259 have you encounter any tickling sensation/ numbness over any parts of your body before drooping of the face?
 ]]> 2019-04-21 12:45:26 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352918259 Did you able to walk? https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352927451 Mai Shine


]]> 2019-04-21 15:28:08 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352927451 can you describe your headache? where is the location of your headache https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352994179 2019-04-22 06:11:57 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352994179 https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352994280 is there any trigger factor for your headache?

]]> 2019-04-22 06:13:09 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352994280 Review of system https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352994437 - Do you have any headache/giddiness? 
-Any blurry of vision?
Any chest discomfort/palpitations?
-Any numbness of over fingers/legs?
-Any shortness of breath/difficulty in sleeping during night? Any changes in your sleep cycle?
-Any back pain?
- Any difficulty in passing urine/motion?
-Lost/gain appetite?
-Assess gait

]]> 2019-04-22 06:15:03 UTC https://padlet.com/lingdinho1/3qbzppau5ea0/wish/352994437