Neurology

Question 1

What are the different waited patiently and present with occlusive stroke?

Answer 1

Thrombotic (diabetes obesity the smoker peripheral vascular disease).
Dissection, young female with neck pain
Embolic a fib with vascular disease

Question 2

How is occlusive stroke diagnosed?

Answer 2

CT scan to rule out clean

MRI (TPA before MRI acute)

Question 3

When can TPA be giving to occlusive stroke patients?

Answer 3

In less than three hours if diabetic, in less than 4 1/2 hours if not diabetic

Question 4

What precludes giving a stroke patient TPA?

Answer 4

Never had a brain bleed, no recent G.I. bleed, no surgery within 21 days, no trauma

Question 5

What is first line for stroke prophylaxis after initial episode?

Answer 5

Aspirin

Question 6

What should be added to a stroke patient who is already on aspirin⁉️

Answer 6

Dipyridamole

Question 7

What should be given to a stroke patient if aspirin is not tolerated?

Answer 7

Clopidogrel

Question 8

When his warfarin given to stroke patients?

Answer 8

Embolic stroke patient with a fib

Question 9

How is hemorrhagic stroke diagnosed?

Answer 9

Noncontrast CT scan

Question 10

How does hemorrhagic stroke present?

Answer 10

Worst headache of life, focal neurologic deficit

Question 11

How was hemorrhagic stroke treated?

Answer 11

Neurosurgery, MAP <110

Question 12

What are the comorbidity guidelines for a patient with stroke? What medications can be given to manage risk factors?

Answer 12

LDL 70