15 results
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
and Management ... Algorithm Clinical ... Immediate Workup Ischemic ... #Management #Algorithm ... differential #neurology #CVA
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... of ischemic stroke ... incomplete list): • Ischemic ... • Therapeutic anticoagulation ... #cva #management
Restarting Anticoagulation after TIA or Acute Ischemic Stroke

 • TIA → Consider (re-) starting a NOAC
Restarting Anticoagulation ... after TIA or Acute Ischemic ... worsening or clinical ... #TIA #Stroke #CVA ... #neurology #management
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 • Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Stroke - Differential ... Diagnosis Algorithm ... and Management ... subarachnoid hemorrhage Ischemic ... #CVA #Differential
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... Management Algorithm ... moderate or severe ischemia ... on results of ISCHEMIA ... #Algorithm #Cardiology
Dual antiplatelet therapy with aspirin and clopidogrel for acute high risk transient ischaemic attack and minor
risk transient ischaemic ... attack and minor ischaemic ... stroke: a clinical ... risk TIA or minor ischaemic ... #Management #Aspirin
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Decompensated HF • New ischemia ... Anticoagulation ... #Fibrillation #Cardiology ... #Management #Algorithm
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
MRI Findings in Stroke ... row) of an acute ischemic ... #Progression #Stroke ... #CVA #Clinical ... #Radiology #Interpretation
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... Change in clinical ... Anticoagulation ... one post op Cardiology ... • <6mo since stroke
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
approach to empiric anticoagulation ... Internet Book of Critical ... #COVID19 #management ... #schema #criticalcare ... #algorithm #SARSCOV2