Concept Paper - Cerebral Aneurysms

Topics: Cerebral aneurysm, Subarachnoid hemorrhage, Atherosclerosis Pages: 4 (1503 words) Published: July 2, 2013
Mary Smith was in her usual state of health, carrying about her day as she does any other Monday. She wakes up, prepares breakfast and makes lunches for her family. The children are sent off to the bus waiting to take them to school and she straightens her husband’s tie and kisses him goodbye before he goes off to work. She completes her normal routine of housework before she sets off to the grocery store to pick up a few remaining items for dinner. Before she gets out of the car, she takes two doses of acetaminophen, as she’s had a worsening headache for days. “I’ve got to make a doctor’s appointment”, she reminds herself. As she’s walking down the aisle, Mary starts to realize that the cart is getting heavier and heavier to push even though there is only one loaf of bread in the cart. She then develops a sudden onset severe headache and vomits right before she collapses, going in and out of consciousness. A bystander yells for help and immediately dials 911. The paramedics arrive within minutes rushing her to a nearby, neighborhood hospital. A CT scan (computed tomography), performed upon her arrival, shows a subarachnoid hemorrhage. The attending physicians on hand report to Mary that they are not able to treat her there and that she needs to be med-flighted to a teaching hospital that will give her the treatment she needs. Thousands of thoughts are going through Mary’s head as she flew away in the helicopter; one of the thoughts being if she will ever see her family again. After landing at the next hospital she was rushed to the angiogram suite, where a diagnostic angiogram was performed, showing that she has a ruptured, 17 mm, aneurysm. An external ventricular drain, (a procedure in which a catheter is inserted into the ventricle of the brain), is placed to relieve some of the pressure in her head. After this procedure is performed, her husband is escorted into the room. Treatment options are discussed between Mary, her husband, and the neurosurgeon, with...
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