NREMT EMR First Responder

Category - Patient Assessment

When examining an elderly female who is having difficult speaking, which of the following would be considered a pertinent finding?
  1. She had tuna for lunch and has been told that the mercury levels could be concerning
  2. You note that when she is speaking, she tends to use swear words more than you would expect for an 80-year-old
  3. While speaking or smiling, you notice that the left side of her face does not seem to move like the right side
  4. The patient reports that her husband seems to ignore her
Explanation
Answer: C - Facial asymmetry is a finding that is often not recognized by the patient and can be subtle even for bystanders. This finding is a sign of possible neurological significance related to stroke and/or a facial nerve palsy.
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