Clinical guidelines for acute stroke management

Common Questions and Answers about Clinical guidelines for acute stroke management


Avatar n tn 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.
Avatar m tn It is difficult to comment further without knowing the relevant clinical details or a detailed clinical evaluation. Assuming from the fact of her being in the CCU (which is a cardiovascular unit), that she had presented early in the course of the stroke and would have been on clot buster therapy, the expected prognosis may be slightly better than presenting late.
241234 tn?1220980556 1,2 In 1951, Thomas Twitchell published a 37-page analysis of the clinical course of recovery of 121 acute hemiplegic stroke patients in the Boston City Hospital.3 Early on they were examined daily, and 25 were carefully followed for weeks or months until they reached a stable status of recovery or disability. Twitchell described in great detail both the usual and exceptional patterns of functional recovery, along with the associated patterns of reflex phenomena.
Avatar m tn To promote the best clinical practices, the National Institute of Allergy and Infectious Diseases (NIAID) sponsored clinical guidelines for the diagnosis and management of food allergy in the United States.[5] An expert panel and coordinating committee representing 34 professional organizations, federal agencies, and patient advocacy groups developed the guidelines during a 2-year period. The 43 guidelines were based on an independent literature review and expert clinical opinion.
Avatar n tn -Are the clinical findings compatible with a stroke, namely do the symptoms and results from the neurological examination suggestive of a specific localization for a stroke. -Are the clinical findings persistant? If the neurological features have resolved within 10-30 mins, the event is called a Transient Ischemic Attack (TIA) - also called a mini-stroke. Since no permanent damage was done, it would not show up in the MRI.
Avatar f tn 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.
Avatar f tn I can only state the standard, recommended guidelines for management of papillary thyroid cancer. RAI form an integral part of these treatment protocols. These guidelines have been formulated to deliver the best possible clinical outcomes in patients. At age of 28, you have a long period of time before your reproductive capacity diminishes. Perhaps you may consider IVF after completing the RAI therapy. Please discuss with your oncologist in detail. All the best, and God Bless!
Avatar n tn In addition to management of the underlying causes, major considerations in acute treatment of increased ICP relates to the management of stroke and cerebral trauma.The standard modes of treatment are hyperventilation,controlling blood pressures with calcium channel blockers, reducing mass effect with craniotomies, inserting an extraventricular drain, medications like mannitol can also help. Consult your neurophysician for further assistance. Best.
Avatar f tn Furthermore, psychotic episodes may be an acute change like that seen in delirium, stroke, or seizure. Depending on the complete history, including family history, associated symptoms, and clinical examination, imaging findings will likely be in different anatomical locations. As a general rule, MRI is better for looking at anatomy and for pathological conditions (e.g.
Avatar f tn The haemangioma could or could not be responsible for the stroke/ TIA or the headache and management would largely depend on the size, location, symptoms etc. and may be conservative or surgical/ interventional. It would be best to discuss the situation and the suggested management plan in detail with your treating neurologist/ vascular surgeon. Hope this is helpful. Take care!
Avatar m tn R/O STROKE. Clinical information:evaluate for stroke.Parameters:stroke protocol. There is no evidence for acute ischemic event.The brain parenchyma is normal in appearance.There is no mass or mass effect. The ventricles are normal in size and position.IMPRESSION:NORMAL STUDY What does "There is no evidence for acute ischemic event" mean and would a radiologist have written on report if there was an old (chronic) stroke?
Avatar n tn These causes need to be correlated with history, neurological examination and clinical findings and MRI findings. Management would be dependent on other findings and the complete clinical scenario. Take care.
Avatar n tn One study which was an individual patient data pooling analysis of clinical trials on oral citicholine in acute ischemic stroke reported that treatment with oral citicoline within the first 24 hours after onset in patients with moderate to severe stroke increases the probability of complete recovery at 3 months (Davalos, et al, 2002).
Avatar m tn guidelines are made for dum doctors with no knowledge of hbv, drugs and tests.hbv treatment must be personalized and only very updated doctors can do that the less stupid are european guidelines but even you can understand how stupid can be the ue of antivirals alone.
Avatar n tn On the other hand, the clinical presentation of seisures may be less typical than in someone who did not have a stroke. This may make the clinical diagnosis more difficult. The standard diagnostic tool is a brain wave testing call EEG which can demonstrate abnormal focal electric discharge in 30-50% cases after a seisure. Anticonvalsents (anti-seisure medication) (ACDs) are generally started in a patient with a typical clinical presentation with or without EEG corelation.
Avatar f tn I was hospitalized with acute phylonephritus a little over 2 weeks ago. After being put on Cipro for 10 days, I'm starting to feel that same pain raidiating throughout my lower back. I'm out of the Cipro and almost out of the pain medication I was given. I called my Dr today, and now they want to refer me to a urologist. My urine is still very dark. Is there a possibility of something else going on? I'm 26 and have had 4 kidney stones since 2007.
Avatar n tn re at a higher risk for a stroke.
Avatar m tn However, treatment is indicated for patients with fulminant hepatitis B according to the American Association for the Study of Liver Diseases (AASLD) (Management Guidelines)[Lok 2009] and the European Association for the Study of the Liver (EASL) (Management Guidelines).[EASL HBV] For such patients, the AASLD guidelines recommend lamivudine or telbivudine if the duration of treatment is expected to be short,[Lok 2009] and the EASL guidelines state that lamivudine may be used.
Avatar m tn As opposed to European (EASL) 2012, Asian-Pacific (APASL) 2012, American (AASLD) 2009, and World Health Organisation (WHO) 2015 major guidelines for the treatment of chronic Hepatitis B, the following 3 guidelines are more strict on the conditions leading to necessity of treatment for Hepatitis B, HBeAg negative carriers: Canadian 2009, Japanese (JSH) 2013, and UK/British (NICE) 2013 guidelines are more "strict" when it comes to treatment of negative HBsAg patients, especially in the
Avatar f tn New Standard of Care Guidelines for Treating Lyme and Other Tick-borne Illnesses Released by International Lyme and Associated Diseases Society (ILADS)". I know what I'll be reading this weekend.
Avatar m tn Hello, A detailed clinical examination may be necessary for correct diagnosis and management. Loss of smell sensation is usually caused by acute sinusitis, rhinitis etc.CNS causes are brain tumour,aneurysm,hormonal disturbances,diabetes,multiple sclerosis, zinc deficiency, malnutrition etc.Loss of taste sensation can be due to nasal infections,flu,common cold, dryness of mouth, medications like antithyroid medications,rifampicin,gingivitis,vitamin B12 or zinc deficiency.
1287446 tn?1313947638 I would suggest consulting a neurologist/ his treating physician for adequate management of the condition which may involve medications and lifestyle changes along with adequate control of a few conditions such as hypertension, if involved. Hope this is useful. Take care!
Avatar m tn 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. These guidelines suggest that it can be useful in determining the cause of a high ALP.
Avatar f tn This rigorous review format is also used by many other well-respected medical organizations including the World Health Organization (WHO), the American College of Physicians, and the National Institute for Health and Clinical Excellence (NICE) in the UK. ILADS guidelines are the only Lyme disease guidelines that included a patient from the Lyme community as an author or as a member of the guidelines development panel.