You have been called for a 63-year-old woman with slurred speech and right-arm weakness. On arrival, the patient informs you that the slurred speech and weakness have resolved. Since your assessment reveals no deficits, the patient insists on signing a refusal of treatment form. Which of these statements should you make prior to having her sign the form?

A headache with altered mental status (AMS) can be a sign of infection, bleeding, or a tumor. Vomiting without diarrhea can indicate increased brain pressure. Dehydration can also cause AMS.  Some causes of AMS include: Brain bleed, Brain tumor, Hepatic encephalopathy, Obstructive hydrocephalus, Seizure, and Stroke.  A stroke, also known as a cerebrovascular accident (CVA) or brain attack, occurs when blood flow to the brain is blocked or a blood vessel in the brain bursts. This can cause lasting brain damage, long-term disability, or even death.  There are two main types of... Show more

A headache with altered mental status (AMS) can be a sign of infection, bleeding, or a tumor. Vomiting without diarrhea can indicate increased brain pressure. Dehydration can also cause AMS. 

Some causes of AMS include: Brain bleed, Brain tumor, Hepatic encephalopathy, Obstructive hydrocephalus, Seizure, and Stroke. 

A stroke, also known as a cerebrovascular accident (CVA) or brain attack, occurs when blood flow to the brain is blocked or a blood vessel in the brain bursts. This can cause lasting brain damage, long-term disability, or even death. 

There are two main types of stroke:
Ischemic: Caused by a lack of blood flow
Hemorrhagic: Caused by bleeding 

Some people may have a temporary disruption of blood flow to the brain, known as a transient ischemic attack (TIA). A TIA doesn't cause lasting symptoms. 

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