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management differential cardiology cva hematology neurology bleed chads2 chads2vasc comparison endocarditis hasbled ischemic risk score acute algorithm aliem antiplatelet atrial
Stroke and bleeding risk stratification with the CHADS2-VASc and HAS-BLED schemas #Diagnosis #Hematology #CHADS2 #CHADS2VASc #HASBLED #Comparison
Stroke and bleeding ... HAS-BLED schemas #Diagnosis ... #Score #Risk #Stroke ... #Bleed #Anticoagulation ... #AFib
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 Stroke Etiologies Hemorrhagic (IPH, SAH) Ischemic - Large Vessel Atherosclerosis - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Stroke Etiologies ... Cardioembolic: Atrial fib ... embolism, Occult a-fib ... #causes #differential ... #diagnosis #neurology
Antiplatelet Medications - Summary Table Aspirin - Inhibits cyclooxygenase, preventing formation of thromboxane A2 • Acute coronary
inhibitor and anticoagulation ... Alternative to anticoagulation ... in a-fib P2Y12 ... with aspirin and anticoagulation ... Summary #Table #Pharmacology
CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation C Congestive Heart Failure 1 H Hypertension 1 A2 Age >75 2 D Diabetes Mellitus 1 S2 Stroke,
HAS-BLED scores for stroke ... bleed risk on anticoagulation ... Mellitus 1 S2 Stroke ... #Bleed #Anticoagulation ... #AFib #Diagnosis
Causes of Ischemic Stroke - Differential Diagnosis Framework Important to determine and treat the etiology behind because
Causes of Ischemic ... Stroke - Differential ... Diagnosis Framework ... • Arrhythmias: Afib ... #causes
Indications for tPA in Stroke: • Clinical diagnosis of ischemic stroke • Measurable neurologic deficit •
Indications for tPA in Stroke ... : • Clinical diagnosis ... of ischemic stroke ... present, in which case ... • Therapeutic anticoagulation
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
Evaluate underlying cause ... +/- TEE (high Afib ... v Holter (r/o Afib ... ischemic #CVA #stroke ... #workup #diagnosis
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... → Diagnostic of ... Hematuria: • Stone ... induced bleeding • Anticoagulation ... #Differential #Diagnosis
Acute Atrial Fibrillation - Initial Options for Rate Control Diltiazem IV • Rapid onset and rapidly
IV bolus can cause ... • Does not cause ... - Strong Medicine ... Rate #Control #pharmacology ... management #cardiology #AFib
Behcet's Syndrome - Treatment Ulcers: • Treatment: Topical steroids • Prevention: Colchicine • Azathioprine for refractory disease Arthritis:
immunosuppressive meds • +/- Anticoagulation ... (case by case) ... Eric Strong @DrEricStrong ... - Strong Medicine ... Treatment #management #pharmacology
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