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Case 1 A 78 year old gentleman is following up with you in t
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Case 1 A 78 year old gentleman is following up with you in the office. He had an embolic stroke 8 weeks ago. He spent the last 6 weeks in rehab to improve his left sided deficits. On discharge 5 days ago he lost his new prescriptions. He isn’t worried about it. He states that “If I take the medicine they gave me I can’t drink any alcohol”. Known Medications: Digoxin Allergies: NKDA PMH: A fib, mild congestive heart failure, pre-diabetes. SH: Quit tobacco 30 years ago. Has a glass of wine every night with dinner. Plays golf 3 days per week and has a Scotch in the clubhouse after every round. PE: On exam he is in A-Fib, his BP is 124/76. His lungs are clear. What is his CHADS score? What therapeutic agents would you consider for stroke prevention in this gentleman? Why? (references not older than 5 years)
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