14 results
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Stroke Evaluation ... and Management ... Immediate Workup Ischemic ... #Management #Algorithm ... #differential #neurology
Acute Ischemic Stroke Management

 • Initial Assessment
 • BP/Temp/BG
 • IV Alteplase
 • Tx of ICB
Acute Ischemic Stroke ... Management ... #Ischemic #Stroke ... #Management #CVA ... #neurology
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
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
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
Clinical diagnosis of ischemic ... neurologic deficit ... present, in which case ... #cva #management ... #neurology
Dual antiplatelet therapy with aspirin and clopidogrel for acute high risk transient ischaemic attack and minor
clopidogrel for acute ... risk transient ischaemic ... attack and minor ischaemic ... risk TIA or minor ischaemic ... #Neurology #Management
Restarting Anticoagulation after TIA or Acute Ischemic Stroke

 • TIA → Consider (re-) starting a NOAC
Anticoagulation after TIA or Acute ... Ischemic Stroke ... ≥ 1 day after stroke ... #CVA #neurology ... #management
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
A) Initial Evaluation ... Evaluate underlying cause ... Ruled out other causes ... #CVA #stroke #workup ... diagnosis #checklist #neurology
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
Findings in Stroke ... bottom row) of an acute ... ischemic lesion ... #Progression #Stroke ... Interpretation #Findings #Neurology
Evolution of stroke on CT and MRI. 

Day 1: NCHCT demonstrates obscure left insular cortex. No
Evolution of stroke ... consistent with acute ... thought to represent ischemic ... #Stroke #CVA #MRI ... Progression #Timeline #Neurology