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Acute Ischemic Stroke Diagnosis and Management

#Ischemic #Stroke #Acute #Diagnosis #Management #Workup
Acute Ischemic Stroke ... Diagnosis and Management ... #Ischemic #Stroke ... #Acute #Diagnosis ... #Management #Workup
Acute Ischemic Stroke Management

 • Initial Assessment
 • BP/Temp/BG
 • IV Alteplase
 • Tx of ICB
Acute Ischemic Stroke ... Management ... #Ischemic #Stroke ... #Management #CVA ... #neurology
Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
> 50x normal - Ischemic ... > 20x normal - Acute ... AST:ALT = 1 - Ischemia ... Viral Hepatitis, Ischemic ... #hepatology #LFTs
Ischemic Stroke - Blood Pressure Management
 • No tPA  < 220 / 120 (permissive hypertension)
Ischemic Stroke ... Blood Pressure Management ... Medicine @SCVMCMed #Ischemic ... #Stroke #BloodPressure ... #treatment #neurology
Blood pressure management in acute ischemic stroke - Timeline
Candidate for tPA:
 - Goal SBP <185 AND
Blood pressure management ... in acute ischemic ... stroke - Timeline ... #ischemic #Timeline ... #neurology #permissive
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Stroke Etiologies ... Hemorrhagic (IPH, SAH) Ischemic ... Endocarditis, Acute ... #differential #diagnosis ... #neurology
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... of ischemic stroke ... incomplete list): • Ischemic ... #cva #management ... #neurology
Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
Liver Injury ... - Ichemic hepatitis ... Drug-Induced liver injury ... #Differential #Hepatology ... #Diagnosis
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
and Management ... Immediate Workup Ischemic ... #Management #Algorithm ... #diagnosis #differential ... #neurology #CVA
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 • Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Stroke - Differential ... Diagnosis Algorithm ... and Management ... subarachnoid hemorrhage Ischemic ... #neurology #treatment