TREATMENT POINTS In acute setting, Give asprin 300mg for 2 weeks After that shift the patient to Clopidogrel 75mg OD for long term prevention of ischemic stroke. If intolerant to Clopidogrel, Give Aspirin 75 mg OD plus Dipyridamole MR 200mg BD And again if this is not tolerated, Use aspirin or dipyridamole alone. if carotid duplex shows stenosis, Consider Carotid Endarterectomy within 2 weeks. Incase patient has Afib Use DOAC (Rivaraxaban, apixaban, Dabigatran)
Always your lectures are excellent. I am a new viewer of your channel. My another request to change the font of the writings. This font is very difficult to understand in mobile screen..... Better to use standard font in place of font which mimics hand writting.. Thanks a lot.
Hey Idk what's going on with Me I just stand up and something happens with Me my mind was blank for 1 sec I can't see anything I can't think anything and suddenly I feel pain in my body after 2 sec I feel in starting it's like dazzynees and slow slow it feel like I lost my memory for 1 sec and I can't feel pain and I can't see any thing around me sometime I fall out what is this
Glad I found this video before my appointment tomorrow. Last Saturday over a week ago, I had my left arm numbness, trouble walking, dizziness, some difficulty speaking (not sure due to dizziness). Symptoms went away in one hour. My wife told me if I wanted to go urgent care but I felt ok afterwards. Not every smart. I do have high BP at 130 or more or less, 240 cholesterol. Over several months sometimes I had numbness/tingling in my left hand fingers , left side tip/side of tongue / cheek, thinking from computer typing and sitting down too long. Found an old message from hospital last week citing I had acute stroke which got me really concerned. Tomorrow I will see a doctor and make sure to find out the cause and treatment if a stroke is confirmed. I am 62 years old, heathy, bit overweight (on belly, and need to lose weight for sure. I brisk walking a few times per week about 40-60 minutes.
I've had numbness in left arm and left leg for over a year, 320 total cholesterol. I'm wondering if this is always a typical sign of TIA's. I had the left side sagging - only knew about it bec. I'd video'd myself to send to someone. That is when i saw it!
Sir, I'm a med student. My father has been experiencing slurred speech and difficulty in understanding situations and people around him. But no drooping of face, lips and arms. The problem is to define the transient period for slurred speech. I can't say it is transient. It seems continuous. Earlier in the first week of this month, the episode of slurred speech was seldom. But today he's been experiencing it ever since he woke up. And i can't recall if seldom ones were continuous or transient as he remained quiet resting at home as doctor said it might be a viral as he was experiencing intolerant to even fan thrust several times and had low grade fever. Well, he's been noticing minor memory losses since June last month.
I had amarosis fugaz (sp) in November 2019, L eye., went to our ER and they only watched me, referred to a retinal specialist, and eventually sent me home. Now at the time I didn't know the name of this temporary blindness until the retinal specialist caught it. He immediately said I needed a cardiologist because a piece of plaque had blocked the vein in the lower part of my eye which blinded my eye. By the time I finally got the CTA scan iit was too late to see any damage. The cardiologist said I should have been scanned in the ER and not released for 24 hours.
After switching from asp 300 mg, How long to give Clopidogrel 75mg orally ? Lifelong? Why not to switcj aspirin 75 mg instead? Does clopidogrel 75 has any advantage over aspirin75? Which one to prefer if the patient has coronary heart disease at the same time?
After what time we should do brain MRI to rule out stroke after doing first brain ct? What if patient tells why should he takes tia medication if diagnosis is not confirmed by any medical device? Is the diagnosis of tia done clinically after excluding other things? But if the gp doctor makes a failure in diagnosis, then the patient should get antiplatelet medication lifelong in vail
This is an excellent learning leacture sir. Please continue this educational series for different diseases in gynaecology, derma, some other clinical problem s in general practice. Thank you for sharing knowledge in this simple language.❤❤
Am in love with this channel 💕💕💕💕….for more than 10 this is my first time to write a comment to someone, you deserve it ,,, thanks for being updated 💪😍
On multiple occasions, I have experienced a vasospasm of the brain that lasted less than a minute and presented as a TIA. Each time when I leave the ER/hospital, the tests that you listed have have shown nothing and, by eliminating all normal causes, the physicians have concluded that a vasoconstriction (spasm) was the most likely cause. On multiple occasions I have also experienced a migraine, without pain, but with an aura that typically last 20-25 minutes. My neurologist attributed these events to temporary vasoconstrictions and changed my blood pressure medication from amlodipine to verapamil. So far (three months), no further events.
I dont 100% agree with the treatment section. I believe you must actually use dapt of asa 162 - 325 + clopdogril 75 or asa 81+ dyepole. Or asa + ticagulor. But everything i agree w/ and this man layed it out well!
This is only applicable in ACS, with prevention of future attacks of stroke especially ischaemic stroke,you need with ASA or clopidogrel. No benefit of Dapt in such cases
