Acute stroke management guidelines 2010
Common Questions and Answers about Acute stroke management guidelines 2010
stroke
Rapid assessment of acute ischemia is critical for the management of acute stroke patiens who may benefit from thrombolytics or neuroprotective therapeutics. Differentiation of acute from chronic stroke, which may all appear hyperintense on T2- Weighted Imaging(T2WI ), is essential in determining the management of patiens.
my 53 yr old father had a massive left side brain stroke 4 months back. He is diabetic with high BP problem. He also underwent angioplasty 5 yrs back and has stent in his heart artery. Following the angioplasty operation, he was on a blood thinning medicine. When the artery ruptured in his brain, the blood spread rather than to get clot giving him a major brain hemorrhage. After the stroke, he has right side paralyzed. now opens his eyes but has no cognizance.
The most recent one he has been there since Feb 10, 2010 but they only started the physical therapy on about Mar 7, 2010. The physical therapists and doctors are now telling me he probably won't get any better and we should be getting ready to take him home. Everyone before told us it was going to take time but that he was young and should do good. I don't understand how 4 weeks of therapy can convince them he is not going to get better.
However, from 2008 APASL guidelines for HBV management (http://www.apasl.info/pdf/GuidelinesHBV.pdf)
Recommendation 9. For oral antiviral agents: In HBeAg positive patients, treatment can be stopped when HBeAg seroconversion with undetectable HBV-DNA has been documented on two separate occasions at least 6 months apart (II).
So even neurologists and others who specialize in stroke management will not give a prognosis as to outcome or time.
My husband is 37 years old. In May 2010 he experienced difficulty speaking, fatigue, blurred vision and severe headaches. At the time the doctors told us he had a stroke...after MRI, MRA, CAT Scan, EEG, EKG and a heart haulter monitor it showed that he had no signs of a stroke. He still experiences all of these problems and prevents him from working. He took speech therapy for 3 months with no change. He sees a neurologist monthly and nobody has any answers.
As my father is affected by Acute Brain Stem Infarct (Pontine Stem Stroke) which has all the vital functions like breathing, swallowing, sleeping, thinking, movements etc. He got the stroke on 2nd Mar 2012 and now he is able to breath by himself. Swallowing is not properly done, so Ryle's tube is inserted through the nose for his feed. He is not able to move and he is bed - ridden.
On 26th Mar 2013 he vomited some black particles through the Treacheostomy tube.
Diagnosis, management, and treatment of hepatitis C: An update (p 1335-1374)
Marc G. Ghany, Doris B. Strader, David L. Thomas, Leonard B. Seeff
It is written as a guide to the medical community. The article seems quite thorough and full of useful information. It brings together a great deal of research and discusses a wide range of topics including treatment of hard to treat groups and children. I suspect folks on this board will be making reference to it for some time to come.
Hello,
I'm writing on behalf of my sister, who has been experiencing a series of puzzling health problems following a recent brain stroke. Despite multiple visits to doctors, we haven't been able to pinpoint the cause or find effective treatments. I'm hoping to gather insights or suggestions from this community.
Here are some key details about her situation:
- Low ferritin levels (3.5 ng/ml)
- Low transferrin saturation (4.4%)
- Low iron (18.
I need your help in assessing if I have been misdiagnosed or under-diagnosed and if I should get checked for something else causing CKD(chronic kidney disease). Because of bilateral symmetrical involvement of kidneys, and prompt treatment of Acute Pyelonephritis that has not led to good recovery in kidney health, my general physician thinks there could be something else causing this, or some other advanced treatment that could be more effective.
As Americans' waistlines continue to expand, contributing to a burgeoning epidemic of type 2 diabetes, the scientific jury is in and the verdict is clear: weight loss and increased physical activity is directly related to improved diabetes control.
Went to my doctor today and she told me that new guidelines are about to be approved that would say you have achieved SVR if you are UND at 12 weeks post tx, instead of 6 months. Anyone else hear this?
My original quesiton was posted here:
http://www.medhelp.org/posts/Hepatitis-C/Positive-RIBA--Indeterminate-Antibody--Negative-PCR-RNA/show/1473632
I have some comments that i may be in the acute phase but i don't understand how that makes sense.
I was diagnosed chronic hep B in June 2010 and given Baraclude 0.5mg prescription. Before treatment, my ALT was 98 (ULN<58); hbvdna 50,000,000 IU; hbeag +ve. After 9 months, my latest results are: ALT 50; hbvdna 1,700 IU; hbeag still +ve.
Has Baracule become less effective in my body? frds of mine can achieve hbvdna und within 6 months of treatment.
Should I go for other treatments? Thank you for your advice.
1839.0 (Values on 28th Jan 2010)
1060.0 (values on 01 Feb 2010)
I am married with her from last 4 years and I am detected with negative HBsAg. So I dnt think so she is a chronic carrier (or could she be ?). and from these result shall you able to tell whether she will be cured fully or not. The doctor advised for HBcAg after 3 days. We are very much worried for her. Shall any body can help us to interpret these results correctly?
It is used in combination with other liver related blood tests. GGT is increased in most diseases that cause acute damage to the liver or bile ducts but is usually not helpful in distinguishing between different causes of liver damage. For this reason, use of GGT is controversial, and guidelines published by the National Academy of Clinical Biochemistry and the American Association for the Study of Liver Diseases do not recommend routine use of GGT.
Unfortunately To date, there have been no studies that have evaluated either the prevention or the management of delirium post-stroke. I agree with the doctors as the time taken for recovery may be in months or even years. But preventing malnutrition and removal of the cause of stroke helps in quick recovery.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided.
The onset of pain under any circumstance shouldn't be ignored. I highly recommend that you pay a visit to your doctor as soon as possible.
That said, I'm not sure why your post bears the title "Stroke". Strokes usually present over the course of several hours and involve a plethora of neurological symptoms, like confusion, difficulty speaking, memory loss, sudden lethargy, tingling or numbness down one side of the body, and sometimes a sharp pain in the head.
Recommended
