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Acute Stroke - Diagnosis and Management Summary

- Dr. Declan O'Kane @drokane

#CVA #stroke #summary #diagnosis #management #treatment
Acute Stroke - Diagnosis ... and Management ... O'Kane @drokane #CVA ... #diagnosis #management ... #treatment
Differential Diagnosis of Transient Ischemic Attack and Stroke
 - TIA/stroke 
 - Seizure 
 - Hypoglycemia/hyperglycemia
Differential Diagnosis ... - TIA/stroke ... #Mimics #CVA #TIA ... #Differential # ... Diagnosis #Neurology
Blood pressure management in acute ischemic stroke - Timeline
Candidate for tPA:
 - Goal SBP <185 AND
Blood pressure management ... in acute ischemic ... stroke - Timeline ... #Hypertension #CVA ... #Timeline #neurology
Alteplase (t-PA) for Acute Ischemic Stroke: 
Dosage, Mixing, and Administration Instructions

#TPA #Thrombolytics #Stroke #CVA #Dosage #Dosing
Alteplase (t-PA) for Acute ... Instructions #TPA ... #CVA #Dosage #Dosing ... #Instructions #Pharmacology ... #Management
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 • Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Stroke - Differential ... and Management ... #CVA #Differential ... #management #neurology ... #treatment
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Stroke Evaluation ... and Management ... #Management #Algorithm ... #diagnosis #differential ... #neurology #CVA
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
Indications for tPA ... Clinical diagnosis ... • Measurable neurologic ... #Stroke #cva #management ... #neurology
Progression of Imaging Findings in Acute Stroke - Timeline
Onset → Hours → Days → Weeks →
Imaging Findings in Acute ... CBarreraMD #CVA ... #Timeline #diagnosis ... #Progression #radiology ... #neurology
Restarting Anticoagulation after TIA or Acute Ischemic Stroke

 • TIA → Consider (re-) starting a NOAC
Anticoagulation after TIA ... or Acute Ischemic ... StrokeTIA ... #Stroke #CVA #neurology ... #management
Dual antiplatelet therapy with aspirin and clopidogrel for acute high risk transient ischaemic attack and minor
clopidogrel for acute ... after high risk TIA ... Antiplatelet #Therapy #CVA ... #TIA #Stroke #Neurology ... #Management #Aspirin