Before watching the video completely, i want to take a minute to appreciate Ms. Rekha. You are you going to be a great doctor. You almost answered every question. I am soo happy for you.
@asamvav2 жыл бұрын
I liked Dr. Baloor's way of questioning and calmness in explaining. Very good for an examinee. Good presentation from the student's end.
@sakshikumari7349 Жыл бұрын
What is the dofference in progression of hemorrhagic and thrombotic stroke?
@Little-v2x9 ай бұрын
@@sakshikumari7349The difference is time of occurance..progession almost looks similar.. Also can be differentiated on symptoms headache, vomiting in hemorrhagic stroke is classical
@drasifpatel17162 жыл бұрын
Easy way to remember: Life of PAI(plasminogen Activator Inhibitor) begins in the morning! Cause of increased thrombotic strokes/MI in the early morning hours
@natarajumididoddi598510 ай бұрын
It is a very good clinical case presentation and discussion. I am a family practitioner, (practising)76y.I appreciate the student' presentation .I learnt a lot about hemiplegia, how to diagnose ischemic haemorrhagic and embolic strokes. I wish I were your student. Thanks
@moinalijanvekar9391 Жыл бұрын
Salute to the girl she is very knowledgeable
@parthkulkarni83093 жыл бұрын
Mam almost answered all questions…. 😱😱😱
@krisshhnaa50742 жыл бұрын
😱😱😱
@dryash8662 жыл бұрын
That's bcoz she already heard sir's class
@tejasolanki59992 жыл бұрын
@@dryash866 which class??
@medinindia885 Жыл бұрын
Namaste sadguru 😁
@tarunjha32572 ай бұрын
Hands down the best case presentation i watched ever in my life
@drsiddharthsoniphysician2 жыл бұрын
Mesmerising presentation and very insightful and indepth discussion by Bolloor sir who is a gifted teacher. Voice of presenter is very clear and soothing type. @
@dr.hitendrakumar9338 Жыл бұрын
Yes boss 👌
@meenakshi63443 жыл бұрын
Very useful. Plus Ms Rekha did brilliantly.
@ijaziqbal1539 Жыл бұрын
great teacher ..... teaching from heart....... best source for clinical exam prepration ....... true name of teacher
@manojk6531 Жыл бұрын
Early morning presentation of thrombotic stroke is due to Cortisol rise in body which cause vasoconstriction leading to Stroke is what a professor in my college had said
@___s___80719 ай бұрын
1:07:43 CADASIL is Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy
@anandtiwari52 Жыл бұрын
Admin, succeeded in maintaining the communication.......good quality audio and video this time, weldone Sir.
@___s___80719 ай бұрын
1:12:11 stroke mimics SOL Migraine Meningitis Hypo/Hyperglycemia Todd's paralysis
@anasahmad6749Ай бұрын
24-7 hr in Todd's
@nsas955 Жыл бұрын
Really an amazing and fruitful presentation . I admire the way of presenting the case as well as the questions and discussions. God bless you both.
@satyamp6202 Жыл бұрын
Thank you so much entire team, great efforts 🙏🙏🙏🙏, thank you so much sir for your valuable time....
@nadeem3rashid3 жыл бұрын
Wow ! Very Well presneted for a UG 👌🏼
@breezeofease63732 жыл бұрын
sir pls bring the case presentation over parkinsonism with archit baloor sir ... the way he explain helped me a lot while my case presentation 💓💓💓
@tube4427 ай бұрын
She doesn't look like undergraduate
@gajananrepal38472 жыл бұрын
Thank you so much Archit sir .....very comprehensive
@narasimha78703 жыл бұрын
Why UMN lesions have distal muscle weakness first any logic? Because if UMN supplying proximal muscle involved ,then patient will have only proximal muscle weakness…..
@Pint4Life3 ай бұрын
Really amazing case presentation
@anasahmad6749Ай бұрын
LOC hemorrhagic or large infarct Cortex and RAS (brainstem ) involved in alertness consciousness
@anasahmad6749Ай бұрын
1:28:40 increased ict pe decreased RR + Certain soecific patterns eg cheyne stomes etc
@anasahmad6749Ай бұрын
1:26:47 ischemic stroke don't reduce bp achanak se as penumbra ko bachata hai Redce slowly While hemorrhagic stroke eg if bleed..reduce
@arpanuppal00073 жыл бұрын
Such an amazing discussion ❤️
@akv41av3 жыл бұрын
Nice presentation n discussion 👍
@SB-uc8ph6 ай бұрын
Beautiful🎉❤
@rizvyrahman38373 жыл бұрын
Thanks❤... Archit sir is as always great
@AshokKumar-bm4bp3 жыл бұрын
Thank you very much archit sir 🙏
@itsgabriel26913 жыл бұрын
Doing a great job sir 🙏🙏🙏 keep posting S Help a lot of solving doubts Nice discussion sir ma'am give aprrox all the answer
@natarajumididoddi59854 ай бұрын
Sir in my experience I witnessed in icu (I work as a duty doctor now as well) a few traumatic SAH.
@anasahmad6749Ай бұрын
Doubt..Deviated face towards ? 27:50 Umn cl Lmn il Brainstem lmn opposite side of stroke Above cortical on side of stroke
@anandtiwari52 Жыл бұрын
Discussion has been thorough and so very valuable.
@pranavlokeshgp833 жыл бұрын
Really good! Gonna prepare for my case based on this 👍🏽
@sayanthvishnusubramanian88933 жыл бұрын
😅
@sakshikishen3750 Жыл бұрын
Great discussion!
@pramodgowdar97603 жыл бұрын
Ms Rekha answered everything but lill anatomical basics and surface anatomy she needs to know ... Thats it
@anasahmad6749Ай бұрын
1:02:08 htn Ischemic > hemorrhagic but both possible Lacunar infarcts very small vessels .3-1.5 cm size
@anasahmad6749Ай бұрын
Pure motor Or pure sensory Or hemiballismus Lacunar infarcts Post limb of IC >> genu, thalamus
@BharathKumar-we3ng2 жыл бұрын
Omg is it undergraduate student who presented
@mr.x13633 жыл бұрын
V nice 👍
@rahullinton9 ай бұрын
So much helpful sir❤❤❤❤
@asfiyafakiha8 ай бұрын
Thankyou sir. 😊
@anasahmad6749Ай бұрын
1:15:08 do not forget autonomic fn...asked for lateral medullary synd
@anasahmad6749Ай бұрын
Horners mainly
@anasahmad6749Ай бұрын
Cervical cord inv(rarely)
@anasahmad6749Ай бұрын
1:32:23 in fundoscopy subhyaloid space- boat shaped...dursen's syndrome
@tarunjha32572 ай бұрын
Kuddos to the presenter calm cool and super intelligent
@anasahmad6749Ай бұрын
Edh or sdh hematoma may lead to hemiplegia kind of symptoms
@narasimha78703 жыл бұрын
Mechanism of fever in venous strokes and why fever doesn’t happen in arterial stroke??
@GauravPawar-vl7jb10 ай бұрын
No deliveryof inflammatory mediators in case of arterial stroke
@ruhinaresh74102 жыл бұрын
Very useful 👍
@romanchitupadhyaya3738 Жыл бұрын
Can we have a case presentation like this on paraplegia also sir regarding the approach and all 🙏
@THEWHITEARMY Жыл бұрын
we already have many a discussion videos on paraplegia..kindly check
@anasahmad6749Ай бұрын
1:16:47 xanthomas etc for metabolic synd,
@anasahmad6749Ай бұрын
1:28:04 watershed infarct- in multiple areas
@anasahmad6749Ай бұрын
Aphasia localises to cortex dosorder of language Dysarthria articulation affected brainstem or any cranial nerve eg 7, 9 , 10 , 12
@ayushmanmukherjee929710 ай бұрын
Here, the history of deviation of angle of mouth as taken, will be right sided and not left sided.... M i right?
@sanjujohn63833 жыл бұрын
Very good
@anasahmad6749Ай бұрын
1:41:49 3 and below power u can't do cerebellar
@DrChainSingh2 жыл бұрын
Thank you sir
@Dr.GAURAV45 Жыл бұрын
Internal capsule involved, so why hemiparesis and not hemiplegia?
@GauravPawar-vl7jb10 ай бұрын
Don't say hemiplegia until zero power
@anasahmad6749Ай бұрын
Timing Deficit at onset Progression For type of stroke based on history
@Drstrange122332 жыл бұрын
Sir provisional diagnosis i think it is left sided umn facial palsy as on examination we have loss of nasolabial folds on right side so contralateral will be left facial palsy
@AravindRavi Жыл бұрын
i also made the same confusion during my models. if the patient has loss of nasolabial fold on the right side and deviation of angle of mouth to the left. then we call it right sided facial palsy only but the lesion is on the left side (if its an UMN) . its quite tricky but we have to be careful while answering
@anasahmad6749Ай бұрын
Raised ict in hemorrhagic, or large thrombotic
@sachinkambar.9816 Жыл бұрын
How sensory components intact if internal capsule involved
@nishithmohapatra7206 Жыл бұрын
Why posterior limb of internal capsule stroke localization
@anasahmad6749Ай бұрын
1:35:57 Spasticity not rigidity bcz only antigravity muscles i.e flexors in upper limb and extensors in lower limb affected
@anasahmad6749Ай бұрын
Rigidity all muscles affected
@anasahmad6749Ай бұрын
Spasticity has clonus+ babinsky sign Spasticity is velocity dependent ...vel increase krne pr spasticity also increases whereasd rigidity increases Spasticity is Clasp knife spasticity pattern while rigidity is lead pipe pattern
@wmaperera2 жыл бұрын
Well done sir...thanks u..
@anasahmad6749Ай бұрын
Umn lesion first has distal motor weakness
@anasahmad6749Ай бұрын
Facial nerve(since face dev) involved therefore PPPPP wali sound lips inv.. in sounds mei dysarthria
@anasahmad6749Ай бұрын
Iç lesion not produces aphasia ...therefore 2 lesions
@anasahmad6749Ай бұрын
Word out put females more
@sakshikumari7349 Жыл бұрын
What is the difference in progression of thrombotic & hemorhagic stroke? Can it be differentiated clinically?
@Little-v2x9 ай бұрын
Both have almost same progression.. But vary in time of occurance.. Symptom wise hemorrhagic will be have raised ict with Heachache, vomiting
@anasahmad6749Ай бұрын
Only lower part of face affected therefore UMN type
@anasahmad6749Ай бұрын
Temp high bad prognosis Hyper pyrexia in endocarditis , pontine lesions,meningitis, venous strokes eg due to DVT
@GauravPawar-vl7jb10 ай бұрын
In umn distal weakness start first eg in fingers
@mahimabhojwani290810 ай бұрын
Is it left side or right side umnl at 1:35:05
@lavanyakumhar80212 жыл бұрын
How is this hemiplegia but not hemiparesis
@mohitzambare Жыл бұрын
Can someone explain the planter response why is it like that?
@adarshpal49073 жыл бұрын
Kadak,🤗🤗
@krisshhnaa50742 жыл бұрын
Don’t be like layman man…
@shashankgowda22082 жыл бұрын
Using India language in no way makes u layman .. knowledge is imp
@anasahmad6749Ай бұрын
1:09:56 young female ho toask menstrual history Ocp Apla syndrome history etc
@anasahmad6749Ай бұрын
Dense hemiplegia localises to IC
@anasahmad6749Ай бұрын
1:18:20 relevance of pulse in stroke...irregularly regular pulse in a fib Raised ict decrease?? in pulse Bradycardia cushings reflex Arterial wall palpable and thickened in severe atherosclerosis Peripheral pulses absent feeble in vascular diseases and variuous cardiac diseases... valvular ds AR - WATERHAMMER AS - ANACROTIC pulsus parvus et tardus Pulse mein rhythm volume character and arterial wall ke ilaawa also auscutate CAROTID bruit
@anasahmad6749Ай бұрын
Also for posterior circulation ... vertebral artery(from subclavian 1st part) mei check bruit...straight line from medial end of clavicle and mastoid... surface anat. Of vertebral artery and arising from there it goes up thru transverse foramen of vertebra
@anasahmad6749Ай бұрын
No bruit only rules out ...possible ke complete occlusion ho jayega
@anasahmad6749Ай бұрын
No bruit in complete occlusion....bruit in 30-70 percent occlusion 1:25:23
@medicalknowledge79502 жыл бұрын
Sir,can u make subtitles available for this vedio ? I have some hearing problem
@kalyanirathod86832 жыл бұрын
👏👏
@dr.vigneshwar5747 Жыл бұрын
👌
@imperialalike1536 Жыл бұрын
Mangalore 🔥
@ViratKohli-yi1xr Жыл бұрын
Do we have to know everything like here ?
@kishanvishwamitra7727 Жыл бұрын
Chassignac tubercle
@anasahmad6749Ай бұрын
1:44:44 treatment
@drvijayfromkem69342 жыл бұрын
Thank you to all
@GauravPawar-vl7jb10 ай бұрын
Umn type of facial nerve palsy
@k.charitachowdary1130 Жыл бұрын
1:26 speech
@shashwatchaurasia9030 Жыл бұрын
Hello medicos, Does anyone have notes regarding this video discussion?