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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
Causes of Stroke - Ischemic, Hemorrhagic, Subarachnoid - Differential Diagnosis Algorithm
 • Ischemic
 • Intracerebral Hemorrhage
Causes of Stroke ... - Ischemic, Hemorrhagic ... • Ischemic ... #CVA #Neurology ... #Causes
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
and Management ... Immediate Workup ... Ischemic Stroke ... #diagnosis #differential ... #neurology #CVA
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Stroke Etiologies ... Hemorrhagic (IPH, SAH) Ischemic ... Endocarditis, Acute ... #causes #differential ... #diagnosis #neurology
Acute Ischemic Stroke Management

 • Initial Assessment
 • BP/Temp/BG
 • IV Alteplase
 • Tx of ICB
Acute Ischemic Stroke ... Management ... #Ischemic #Stroke ... #Management #CVA ... #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
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 ... #diagnosis
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... of ischemic stroke ... present, in which case ... incomplete list): • Ischemic ... #cva #management
Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
Causes of Severe ... Acute Liver Injury ... - Ichemic hepatitis ... #Causes #Differential ... #Hepatology #Diagnosis
Differential Diagnosis of Transient Ischemic Attack and Stroke
 - TIA/stroke 
 - Seizure 
 - Hypoglycemia/hyperglycemia
Differential Diagnosis ... of Transient Ischemic ... Attack and Stroke ... Mimics #CVA #TIA #Differential ... #Diagnosis #Neurology