10 results
Stroke and bleeding risk stratification with the CHADS2-VASc and HAS-BLED schemas

#Diagnosis #Hematology #CHADS2 #CHADS2VASc #HASBLED #Comparison
Stroke and bleeding ... CHADS2-VASc and HAS-BLED ... Hematology #CHADS2 #CHADS2VASc ... #Score #Risk #Stroke ... #Bleed #Anticoagulation
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,
CHA2DS2VASc vs HAS-BLED ... risk on anticoagulation ... 1 B Bleeding ... ) 1 #CHADS2 #CHADS2VASc ... #Bleed #Anticoagulation
Anticoagulation for Atrial Fibrillation - CHA2DS2-VASc

I always tell my students, one of the first thing you
fibrillation in clinic ... therapy for stroke ... factor, while ACC ... AtrialFibrillation #AFib #CHADSVASC ... #CHADS2VASC #Score
HAS-BLED Score - Risk of Major Bleeding in 1 Year
Characteristics (1 point each)
 • Hypertension: Baseline
HAS-BLED Score - ... Risk of Major Bleeding ... • History of stroke ... - Strong Medicine ... #anticoagulation
HAS-BLED Score
 - Hypertension: Baseline SBP > 160mmHg
 - Renal disease: Cr > 2.6mg/dL, on HD,
HAS-BLED Score ... - History of stroke ... History of major bleeding ... Eric Strong https ... #Anticoagulation
Bleeding risk calculators - HAS-BLED (atrial fibrillation) and IMPROVE (VTE prophylaxis for inpatients)
Important notes:
 • No
- HAS-BLED (atrial ... studies suggest net clinical ... benefit of anticoagulation ... of withholding anticoagulation ... #Calculators #Anticoagulation
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
Indications for tPA in Stroke ... : • Clinical diagnosis ... of ischemic stroke ... Active internal bleeding ... • Therapeutic anticoagulation
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
of Glomerular Bleeding ... Hematuria: • Stone ... Exercise induced bleeding ... • Anticoagulation ... Pseudohematuria: • GI bleed
Cleft Posterior Mitral Leaflet on Echocardiogram

Eldery patient with recurrent stroke on therapeutic anticoagulation. 
Normal sinus rhythm
with recurrent stroke ... on therapeutic anticoagulation ... Leaflet #PMVL #clinical ... echocardiogram #pocus #a4c
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... Anticoagulation ... - what is the bleeding ... indication of AC ... • <6mo since stroke