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第二章case study follow-up
CHAPTER 2 suffixes
CASE STUDY
R.F.'s Encounter with a Cerebral Aneuysm
Chief complaint:
R.F., a 42-year-old woman, has been complaining of atypical headaches for the past few weeks. She experienced vomiting
with one of the headaches that she could not attribute to the flu or something she had eaten. She does not have a history of migraines. R.F. had an appointment with a neurologist, who referred her to the neurosurgery clinic for evaluation of a possible cerebral hemorrhage.
Examination:
Patient is a 42-YO female c/o sudden and severe headaches over the past three to four weeks; one headache was accompanied with vomiting. Patient admits to recent photophobia and intermittent blurred vision. She has a history of venous thrombi following an emergency hip surgery for a fracture she suffered two years ago when she was in an automobile accident. Multiple vertebrae and her pelvis were also fractured. No other complications postaccident noted. Hypertensive with a BP of 154/86; neurological and physical examination is otherwise normal. Diagnoses: cerebral aneurysm and hypertension.
Clinical course:
The neurologist ordered a CT scan that revealed a small saccular aneurysm measuring 4 mm near the circle of Willis, the arterial pathway supplying the brain. R.F. was scheduled for a craniotomy and surgical insertion of a clip around the neck of the aneurysm to control bleeding and offer protection from rebleeding.
An aneurysm (AN-yū-rism) is a bulge in a weakened arterial wall that can rupture and cause damage. An aneurysm is illustrated later in this chapter when we learn more about R.F.’s medical care. There is more information on aneurysms and their potential effects in Chapters 9 and 17.
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