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| * stroke..ISCHEMIC,EMBOLIC,LACUNAR,HEMORRHAGIC |
| | #531182 |
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im so confused ...help me here..forever,spartans1,the_dumb
its a very imp topic..and i have exam in few days |
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| * Re:stroke..ISCHEMIC,EMBOLIC,LACUNAR,HEMORRHAGIC |
| #2188285 |
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Diag: CT of head to differenciate between hemorrhage vs stroke
Tx: - if pt comes within 3 hours of symptom onset= tissue plasminogen activator tpa
Contraindications are: stroke, head trauma within 3 months, hemorrhage-GI or GU within 21days.
-Heparin in acute ischemic stroke reduces number of recurrent strokes.
-anti-platelet therapy-most effective to prevent secondary ischemic stroke. *Aspirin is 1st line tx for prevention*
-Carotid endarterectomy-if lesion is symptomatic and occlusion is 70% of arterial lumen.
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