MBBS Case Scenario || Hemiplegia

[@Protago080]

This is how the case is presented professionally. Such presentations will help the medical students generously. Actually, it is the clinical interpretation, investigation, prognosis and further line of treatment for which every medical student should aspire for after getting introduced with para-clinical and clinical subjects. A nice and informative video 👍.

[@PunStar-gx4uj]

For dvt prophylaxis what they said? Sorry i can't understand

[@arkapriyamukherjee8895]

She just nailed it. Such a great preparation and clinical knowledge.

[@muhammadbalawalnawaz1717]

This channel is soo soo good, being a dr i learnt and revise so many things, thanks dear Sir for the great videos.... Love from Pakistan

[@sivaprasadpolukonda7670]

Thanks for case discussion at EMERGENCY ROOM sir. It will easy for understanding & Expecting more video's in this manner.

[@sonalkumar3485]

This is what medical student needs ❤️

[@shanraj5630]

you people are doing a great job thank you soooooo much😭😭🙏🏾🙏🏾🙏🏾🙏🏾

[@jahidsk4038]

Dr. Girish sir your Case discussion is highly beneficial for me . And thank you so much for this initiative sir

[@ilaiyabharathi1168]

Respected sir , your KZbin channel is really great it is very helpful for us

[@cliniciiss2032]

GREAT EFFORT MUCH REGARDS AND HIGHLY APPRECIATE UR EFFORTS.FROM UAE DR HUMAIRA

[@shoaibkanwalacademy8802]

Great presentation ... This is best way to educate junirs .... I am also thinking to make round videos ....becoz actual learing is at bed side .... One thing I want to clear here is ..dose of Aspirin is 300mg for 15 days then 150 mg ...lifelong...

[@MOHAMMAD_DANISH786]

Huge respect for what u r doing.

[@shubhranshtripathi1724]

Excellent content....sir please make a video on how and when to give different fluids like NS, Dextrose and all in different emergency conditions 🙏🏻🙏🏻🙏🏻

[@meenatyagi8185]

You know the difference between medical colleges of northern India they treat mbbs students horribly and terrorize them instead of being friendly and of helping nature to them, that’s why difference of clinacal knowledge

[@amithaep5370]

Very informative ... presentation. Thank you Dr Gireesh and Dr Manna...

[@shreedharangadi5399]

Much helpful classes for each medico😍

[@shrutidasari4390]

Such a great discussion 🙏keep going,keep on inspiring 👍

[@Yakeen1348]

Thank you for helping many medical students

[@ramasamyloganath3955]

This Types of Physical Examination for all MEDICAL Fields whether NURSING and PHARMACOLOGY Courses Also Engg Related Courses Testing Methods a MUST

[@resmiarun2189]

Thank you so much sir...much awaited for this discussion.very informative🙏

[@dr.abhilashshinde1197]

Very nice, useful lecture sir, thank u

[@cerebellum1460]

Excellent sir.... Need few videos on general practice also.... Although dis is emergency medicine channel.... But ur explanation is outstanding... So it would really be helpful for us

[@drabdullahjutt726]

I have no words to say thank you ❤️

[@moulitinku5144]

Thanks for such a clear explanation that we could make notse and understand everything...

[@AamirKhan-qi4kr]

Fantastic case taking 👍👏👏👍👌👌👌👌

[@omarelhadi5262]

Very informative discussion Thank you

[@varshasahani227]

It was a great case discussion 😊

[@hemalpatel986]

Very nice explanation 👌 good work

[@jayasrimanoharan5078]

Thank u so much sir... Extremely helpful...

[@ganesh00055]

Great Sir....

[@powerelevators7139]

Team was superb and red shirt doctor good explanation and will be helpful for many many many ug students

[@AETCMEmergencyMedicine]

🙏

[@Punny95]

Sir Giresh, no words to praise your efforts. Bit more to add that might improves quality a little more. Like Perform GCS CNS examination Cranial nerves To help us understand the examination along with case. A question about atorvastatin, why we are giving it? Is it a protocol of management. We did not check her lipid profile. We might need to add Doppler US of carotid artery to rule out carotid stenosis for further work up after discharge of patient.

[@nitishsharma1812]

@Rabbits Hutch Atorvastatin is known to stabilise the plaques formed

[@Punny95]

@@nitishsharma1812 thanks for sharing your knowledge.

[@anandsingh4071]

Morever 2d echo must be done to rule out any clot

[@pavanhugar8714]

Superb case discussion

[@SushilKumar-tz2zf]

Thanks to everyone sir. And mam very informative video 🙏

[@venkatesh2992]

Thank you sir 🙏

[@nrajeev2]

Very good presentation, really great information. Thanks Dr Girish 👏👏🙏

[@darkymine8017]

Really helpful ,thank you

[@jyotibhushan7148]

Excellent

[@raeesansari770]

God bless you sir 🙏🏼💐

[@rupammittal641]

U r doing a great job, Thanks to all of u👍

[@tampara616]

Very helpful

[@mkh4402]

We have great hospitals in vijayawada, AP.. took my mother to the hospital at 9AM and finally they gave heparin at 4PM... all of the staff, including neurologist, were very lazy... and it was a private hospital.. not government hospital..

[@SRI-sp7lv]

Osm video.. very helpful 🙏

[@ashokpatel4196]

Thank u so much sirrr

[@dr.salman1946]

Suprb sir very use full Very clear

[@arunmehta8234]

You are great doctors. QQQQ. At the time of discharge, How was the patient? Hemiplegic conditions? Is he able to lift his lower and upper limb? At what dose of Atorvastatin, LFT should be performed? Should we use Dabigatran?

[@AETCMEmergencyMedicine]

No dabigatran for ischemic stroke, cardio embolic yes in place any oac Patient improved Routine lft monitoring intialy for few weeks then at time of follow-up

[@nr8264]

👏👏 well explained

[@mariausman9157]

Very informative 👍

[@seemasinha5972]

Very informative & educative video. Just one question though is it aspirin 150 mg or 300 mg that we give in initial days of post stroke ?

[@saikushalreddy242]

Superb

[@vijaychander2384]

Very useful to me..

[@drshoaib6019]

Excellent presentation mam.. i want to ask you something. On 3.15 sec. Apply warm blanket How blanket application rule out hypoglycemia....??

[@meenatyagi8185]

In one video of yours i saw dr gireesh holding papers and helping dr manna to present case never never in north india this is possible

[@Nagesh9999]

This is very useful

[@dr.pramodtiwari1600]

Thank u

[@WafaaAbduRahiman]

Very good presentation.. Thnku so much... If possible can u describe how to take consent from bystander.. And how to convince or how to make them understand... Also in between the Airway breathing has abnormalities.. How can we manage it

[@lifeholders_24]

U r boon for medical students sir

[@anuradhadash1719]

Nyc

[@Drovary]

Sir tab se leke ab tak koi medicine nhi kuch nhi...alteplase se pehle kuch nhi..like for bp ..or any drug Bcz in periphery till now attendent will beat us..so intial management before alteplase bcz ctscan not in our area so v hav to refere patient to higher center

[@varunmangalam2022]

Thankyou all.

[@Drshivamyadav]

Sir kindly discuss Glasgow scale

[@meenatyagi8185]

One more thing, in pediatric group hemiplegia is rare

[@janetpearline3693]

Thank you Dr. I want to know whether he needs physiotherapy?

[@maheshkhanna1600]

Yes in future

[@jyotibhushan7148]

Expect more videos pls

[@albincbiju596]

Sir, I think if the patient is presenting to the ed within the window period, MRI is preferred over CT, as the findings in CT may be delayed!

[@AETCMEmergencyMedicine]

CT is the investigation of choice in acute stroke with Patient coming within window period. No agency have recommended MRI as the investigation of choice for pt presenting with Acute stroke

[@albincbiju596]

@@AETCMEmergencyMedicine there are many studies showing the advantage of MRI over CT on the diagnosis of acute ischemic and hemorrhagic stroke. Many multi- speciality hospitals have started something called stroke protocol, where the patient is rushed to MRI if the presentation is within the window period. I am sharing a link to a study conducted by NINDS US. Many Indian hospitals are also follow MRI stroke protocol now! www.nih.gov/news-events/news-releases/mri-more-sensitive-ct-diagnosing-most-common-form-acute-stroke-finds-nih-study

[@AETCMEmergencyMedicine]

There are lot of sutdy, but no recommendations, for a country like India if you ask for CT itself its taking time in peripheries at this point we can't ask for a time consuming mri which is only available in multispeciality hospitals. All agencies and even Indian stroke Association recommends CT brain as the investigation of choice for Acute Stroke. If your center has facility for a quick mri within 20 mts of patient arrival you can go ahead as per your institutional protocol...

[@tharunkumar1528]

We can Imbibe Lot of Clinical knowledge from this Cases

[@pranavkoli7156]

Pls do case presentation of myocardial infarction

[@AETCMEmergencyMedicine]

Already available please check

[@cinematicdoctorvlogs]

Atorvastatin causes myosotis. Why not rosuvastatin?

[@maheshkhanna1600]

Sir make on sepsis management too

[@Doctrukannadavloggeru236]

Pre planned case presentation 😅 Good job guys

[@jiolife8468]

If ct is normal how dr manna diagnosed..he is having infract?

[@AETCMEmergencyMedicine]

kzbin.info/www/bejne/faHMdKmirZ6anck Watch the above link.. You will understand it.. Early ct is Normal in infarct

[@ishrathfatima3897]

Sir Ambulatory aids used in hemiplegia

[@dr.salman1946]

How about pre hospital care sir in a clinic setup If a patient came to a clinic how about the first aid till referring to higher centre ..

[@AETCMEmergencyMedicine]

FAST mnemonic.. Early recognition and referral to a center with stroke care facility

[@MuhammadAli-ml9bt]

Very nice...thanks to the team ....before giving fibrinolytics make sure to go through contraindications checklist....can any one answer y recombinant factor 7 as anridote for alteplase...thanks again all of you...

[@AETCMEmergencyMedicine]

Refractory post thrombolytic bleed, if its large we can try recomb factor seven a Along with ffp, cryoppt

[@akshaymahalle2499]

In this case can we give loading dose of statin and antiplatelets if the case is encountered in opd setup and the nearest hospital facility is far away.... irrespective of ct scan reports on the basis of symptoms only???

[@AETCMEmergencyMedicine]

Only after ct antiplatelets

[@meenatyagi8185]

How to proceed in pediatric hemiplegia? With LMWH and ASA/clopi or LMWH Warfarin or if comes in time alteplase-LMWH - ASA/CLOPI or warfarin depending on arterial or veinous infarct

[@AETCMEmergencyMedicine]

Approach and management in children is totally different....

[@draurangzeb6638]

Aspirin and prednisolone together given in follow up what do you suggest?

[@AETCMEmergencyMedicine]

Not prednisolone

[@nagajyothi8208]

Sir why warm blankets are given???

[@AETCMEmergencyMedicine]

To prevent hypothermia

[@poojas6387]

What if patient comes after 3 to 4 hours? Alteplase works?

[@AETCMEmergencyMedicine]

Window period is till 4.5 hrs after symptom onset

[@dr.salman1946]

Is heavy head ache Is a symptom of hemorrhagic stroke????? Including paralysed

[@AETCMEmergencyMedicine]

Acute headache can be a symptoms of hemorrhagic stroke

[@baibhavbhatta1908]

What about ecg?

[@UjjavalSolankiujjvalsolanki]

NIH score?

[@gokulvader4233]

Here ct was normal how it is infract ? Can someone explain?

[@AETCMEmergencyMedicine]

Early CT is normal in infarct... After 6 hrs only ct will have changes

[@gokulvader4233]

Thankyou for clarification

[@drsimlam]

Sir why did we check the LFTs?

[@AETCMEmergencyMedicine]

As routine evaluation

[@AlamKhan-ll1wq]

What is NHS score?

[@AETCMEmergencyMedicine]

Nihs score.. Stroke scale www.mdcalc.com/nih-stroke-scale-score-nihss

[@ishrathfatima3897]

We can check sensor, motor examination know sir or not

[@AETCMEmergencyMedicine]

Quick Er assessment to be done, treatment is the priority, window period is Narrow

[@muhammadshahnawaz1662]

How cbc is normal

[@AETCMEmergencyMedicine]

Complete Blood Count

[@muhammadshahnawaz6210]

OK,,I mean in case of hemiplegia how cbc is normal,,there may be fluctuation in WBCs .These cells would have a high level than normal

[@AETCMEmergencyMedicine]

Here it was normal

[@abdiwahab9714]

What is NH score

[@AETCMEmergencyMedicine]

Nih is stroke scale