Question: Samuel Dexter Is A 52-year Old African American Man Who Is Both A Husband And Father. He Is Moderately Obese (BMI Of 32), And Has Smoked Two Packs Of Cigarettes A Day For The Past 38 Years. He Awakes One Morning With Weakness On The Right Side. He Is A Bit Confused, Sees Double, And His Speech Is Slurred. When He Attempts To Walk To The Bathroom, He …
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Samuel Dexter is a 52-year old African American man who is both a husband and father. He is moderately obese (BMI of 32), and has smoked two packs of cigarettes a day for the past 38 years. He awakes one morning with weakness on the right side. He is a bit confused, sees double, and his speech is slurred. When he attempts to walk to the bathroom, he stumbles a few times and falls once. His wife suspects that he has suffered a stroke and calls 911. Emergency personnel arrive within minutes of her call and transport Samuel to the emergency room of the nearest hospital Upon camination by the emergency room physician, Samuel is found to have right herniparesis and diminished pinprick and two point discrimination on the right side of his head and arm. His deep tendon reflexes are brisk on the right and there is a positive Babinski reflex on the right. He has dithculty articulating answers to the questions he is asked, speaking only a few words and frequently responding with just a verb or a noun. His ability to respond to complicated verbal commands, whether spoken or written, is not impaired. In addition, his systemic blood pressure was found to be 160/100. A serum lipid profile was performed and the results are shown in the table below. Table 1. Serum Lipid Profile Results Triglycerides 220 mg/dl Total Cholesterol 280 mg/dl LDL 240 Hig di HDL 30 vnd 3. What is the functional relationship between Broca’s area and Wernicke’s area, and where are these areas located in the brain? Define ipsilateral and contralateral and describe how these terms relate to this case, 4. Explain the significance of the findings of the brisk deep tendon reflexes and Babinski sien on the affected side of the patient’s body 5. Based upon the historical and physical exam findings, what specific areas of the patient’s brain have been damaged as the result of his stroke?
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