External Changes in Legs of Patients Observed on Visit to Outpatient Clinic Immediately Before the Onset of Celebral Hemorrhage
10.2185/jjrm.64.693
- VernacularTitle:脳出血発症直前の内科外来診察時に両足の外観的変化を認めた2例
- Author:
Toshinori NIMURA
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2015;64(4):693-699
- CountryJapan
- Language:Japanese
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Abstract:
The present author reports here two cases which showed a strong possibility of the occurrence of cerebral hemorrhage upon a visit to our outpatient clinic. Case 1 was a regular female patient aged 85 years. Her blood pressure had been elevated to somewhere around 200 systolic. At the time of clinical examination, her blood pressure reading was 168/96 mmHg. Edema was found in the dorsum of foot which was flushed generally. On the following day, she was admitted to hospital with cerebral hemorrhage. The swelling and flush were gone soon after hospitalization. Case 2 was a 73-year-old man. He had been under treatment for diabetes, hypertension and hyperuricemia for more than 10 years. The man was hospitalized with a decreased level of consciousness due to cerebral hemorrhage. His blood pressure was 191/98 mmHg. A change in appearance of his feet, which had been found in the outpatient clinic of the internal medicine department was not noticed one day after hospitalization. We thought that, together with high blood pressure, the swelling of feet as seen in our two cases might be a premonitory symptom of cerebral hemorrhage. To prevent cardiovascular events, our cases will provide plenty of food for thought. So, in this report, the author will discuss these cases while making reference to some previous studies.
