MBBS case presentation || Hemiplegia

[@vghnesh]

Sir,In a peripheral setup,can I start aspirin,clopod,statin without taking ct..?is the aspirin contraindicated in hemorrghic stroke?

[@AETCMEmergencyMedicine]

Yes.. Aspirin cam increase the hemorrhage

[@AETCMEmergencyMedicine]

As you are aware 85 % it's ischemic stroke, aspirin can defenitley help in this group of patients but a group of patient can come with hemorrhage in whom aspirin can worsen the Bleed... So after detail explanation to bystanders give aspirin in a peripheral setup (prior to ct) with a possible benefit for 85% of patients

[@talldronduty]

Without ruling out a hemorrhagic stroke aspirin shouldn't be used

[@drnizar90]

In case of Acute stroke when will you advise MRI WITH MRA WHAT ARE THE INDICATIONS FOR MRI WITH MRV HYPERTENSION IS ONE OF THE CAUSE FOR CVA SO PATIENTS WITH CVA (NOT HAEMORHAGIC) WITH KNOWN HYPERTENSIVE 24 HOUR WAITING PERIOD IS NEEDED TO NORMALISE HYPERTENSION

[@tejchothani7455]

Yes sir, sane que!! Same kind of pt came to me in peripheral setup...bp was 200/100...can we differentiate between ischemic and hemorrhagic stroke in this case before CT? To prevent adverse effect from aspirine?

[@drasadmasood572]

Sir love you so much 💗.. Indian doctors are true doctors in the world.. i appreciate indian doctors.. love from Pakistan.. indian doctors are legend

[@WW-gm4rm]

Sir love from pakistan. These lectures are unique treasure for junior doctors

[@dr.ashutoshkusummishrad.a.369]

Sir,,,,thanx ..for sharing this valuable knowledge ...with all medical students...👍🏻🙏

[@HealthTipsSinhala]

it was very good sir.. Thank you for sharing - ( sri lankan medical student )

[@shreedharangadi5399]

Ur vedios are helping a lot for us who are working in periphery...will be Waiting for ur vedios sir

[@peanut443]

Plz make more n more of such videos,,as these r really v.helpful!💯

[@varshasahani227]

Great explanation sir,, especially the point u explain that what should be done in periphery ☺️

[@DrAdi070]

You are cordially requested to discuss obgy, Anaesthesia and Oncosurgery cases.

[@drpratikmishra4161]

So valuable case discussions 🙏

[@sumitshakya5186]

Very useful knowledge📚

[@boxple8283]

Thank you very much Sir for ur explanation 😍

[@rumjhumdatta8265]

Great explanation sir thank you so much

[@dresmailqasem]

Great work...thanks a lot sir

[@ayeshafirdous7710]

Thank you so much

[@Gaon_ghar_Varanasi]

Thank you sir for valuable knowledge, Request- sir please have a session on emergency drugs , there indication , route , and how to give them .🙏

[@shreeganesha8628]

nice program

[@mahithebestone7691]

It was very good ❤️

[@meenatyagi8185]

Dr Gireesh 👍👍

[@peanut443]

Best videossss everrrr!!!!

[@ashrafbaigh2962]

nice

[@Punny95]

We love your videos🙏 It is requested to Please make a video on Parkinson’s and dizziness🙂

[@AETCMEmergencyMedicine]

Available please check

[@pratyakshveer6673]

👏👏👏

[@DrVJK]

👌👍👍

[@resmiarun2189]

Sir plz do cranial nerve examination video.Thank you for the great presentation🙏

[@AETCMEmergencyMedicine]

Alreday available please check

[@soumyadeepkhan1593]

Sir can we differentiate clinically ischemic vs hemorrhagic cause before doing CT?

[@peanut443]

THANKU SO MUCHHHHH!!!!

[@medguy8227]

Shouldn't Aspirin be delayed till 24 hours post-thrombolysis?

[@AETCMEmergencyMedicine]

Yes

[@busjiolife8116]

Sir , can we give asprin and clopidegrol without head ct ?

[@akshaymahalle2499]

Sir as u said that unilateral weakness of limbs can also be present in patient of seizure after attack..... sir thus it recover on its own???? or we have to give some meds to patient???? ..... thus in such case we have to rule out CVA by performing ct or MRI in already diagnosed GCTS patient????

[@AETCMEmergencyMedicine]

Usually Todd's Paralysis will improve by itself, you need to evaluate Seizure with either ct or mri...

[@akshaymahalle2499]

@@AETCMEmergencyMedicine thank u so much sir🙏.... sir also make a video on sickle cell crisis management

[@AETCMEmergencyMedicine]

Available

[@sumitaghosh3233]

What does dense leison means .

[@мвя-е5д]

Upper limb and lower limb equally involved So site must have fibers to both closely located , internal capsule

[@rawat54611]

Bp- 133/85? Odd values

[@AETCMEmergencyMedicine]

Monitor can give that values

[@dr.gopalakrishnanpillai2806]

SIR, IS IT JUSTIFIED TO NOT GIVE HEPARIN IN A PERIPHERAL SET UP WHERE CT NOT AVAILABLE, SINCE HEPAIN COULD BE A HINDRANCE IN FUTURE ALTEPASE INJECTION IF NEED TO THROMBOLYSE THE PATIENT IF STILL IN ACUTE WINDOW PHASE?

[@AETCMEmergencyMedicine]

Heparin after ct

[@medguy8227]

Also in the peripheral centre scenario without CT scan, how can we start anti-platelets without ruling out hemorrhage?

[@AETCMEmergencyMedicine]

Please read the pinned comment

[@medguy8227]

@@AETCMEmergencyMedicine Thank you Sir. Excellent presentation and discussion.

[@sushrutasaha574]

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