MBBS case presentation || Hemiplegia

  Рет қаралды 22,986

AETCM Emergency Medicine

AETCM Emergency Medicine

3 жыл бұрын

#hemiplegia#mbbsneurologycasepresentation

Пікірлер: 51
@vghnesh
@vghnesh 3 жыл бұрын
Sir,In a peripheral setup,can I start aspirin,clopod,statin without taking ct..?is the aspirin contraindicated in hemorrghic stroke?
@AETCMEmergencyMedicine
@AETCMEmergencyMedicine 3 жыл бұрын
Yes.. Aspirin cam increase the hemorrhage
@AETCMEmergencyMedicine
@AETCMEmergencyMedicine 3 жыл бұрын
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
@talldronduty 3 жыл бұрын
Without ruling out a hemorrhagic stroke aspirin shouldn't be used
@drnizar90
@drnizar90 3 жыл бұрын
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
@tejchothani7455 3 жыл бұрын
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
@drasadmasood572 Жыл бұрын
Sir love you so much 💗.. Indian doctors are true doctors in the world.. i appreciate indian doctors.. love from Pakistan.. indian doctors are legend
@dr.ashutoshkusummishrad.a.369
@dr.ashutoshkusummishrad.a.369 3 жыл бұрын
Sir,,,,thanx ..for sharing this valuable knowledge ...with all medical students...👍🏻🙏
@WW-gm4rm
@WW-gm4rm 3 жыл бұрын
Sir love from pakistan. These lectures are unique treasure for junior doctors
@drpratikmishra4161
@drpratikmishra4161 3 жыл бұрын
So valuable case discussions 🙏
@dresmailqasem
@dresmailqasem 3 жыл бұрын
Great work...thanks a lot sir
@DrAdi070
@DrAdi070 3 жыл бұрын
You are cordially requested to discuss obgy, Anaesthesia and Oncosurgery cases.
@varshasahani227
@varshasahani227 3 жыл бұрын
Great explanation sir,, especially the point u explain that what should be done in periphery ☺️
@peanut443
@peanut443 3 жыл бұрын
Plz make more n more of such videos,,as these r really v.helpful!💯
@HealthTipsSinhala
@HealthTipsSinhala 2 жыл бұрын
it was very good sir.. Thank you for sharing - ( sri lankan medical student )
@sumitshakya5186
@sumitshakya5186 3 жыл бұрын
Very useful knowledge📚
@rumjhumdatta8265
@rumjhumdatta8265 2 жыл бұрын
Great explanation sir thank you so much
@boxple8283
@boxple8283 3 жыл бұрын
Thank you very much Sir for ur explanation 😍
@shreedharangadi5399
@shreedharangadi5399 3 жыл бұрын
Ur vedios are helping a lot for us who are working in periphery...will be Waiting for ur vedios sir
@peanut443
@peanut443 3 жыл бұрын
Best videossss everrrr!!!!
@Gaon_ghar_Varanasi
@Gaon_ghar_Varanasi 3 жыл бұрын
Thank you sir for valuable knowledge, Request- sir please have a session on emergency drugs , there indication , route , and how to give them .🙏
@mahithebestone7691
@mahithebestone7691 2 жыл бұрын
It was very good ❤️
@busjiolife8116
@busjiolife8116 Жыл бұрын
Sir , can we give asprin and clopidegrol without head ct ?
@pratyakshveer6673
@pratyakshveer6673 3 жыл бұрын
👏👏👏
@ayeshafirdous7710
@ayeshafirdous7710 5 ай бұрын
Thank you so much
@DrVJK
@DrVJK 3 жыл бұрын
👌👍👍
@Gtr48
@Gtr48 3 жыл бұрын
We love your videos🙏 It is requested to Please make a video on Parkinson’s and dizziness🙂
@AETCMEmergencyMedicine
@AETCMEmergencyMedicine 3 жыл бұрын
Available please check
@shreeganesha8628
@shreeganesha8628 3 жыл бұрын
nice program
@soumyadeepkhan1593
@soumyadeepkhan1593 10 ай бұрын
Sir can we differentiate clinically ischemic vs hemorrhagic cause before doing CT?
@ashrafbaigh2962
@ashrafbaigh2962 3 жыл бұрын
nice
@meenatyagi8185
@meenatyagi8185 3 жыл бұрын
Dr Gireesh 👍👍
@peanut443
@peanut443 3 жыл бұрын
THANKU SO MUCHHHHH!!!!
@dr.gopalakrishnanpillai2806
@dr.gopalakrishnanpillai2806 2 жыл бұрын
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
@AETCMEmergencyMedicine 2 жыл бұрын
Heparin after ct
@medguy8227
@medguy8227 3 жыл бұрын
Shouldn't Aspirin be delayed till 24 hours post-thrombolysis?
@AETCMEmergencyMedicine
@AETCMEmergencyMedicine 3 жыл бұрын
Yes
@akshaymahalle2499
@akshaymahalle2499 3 жыл бұрын
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
@AETCMEmergencyMedicine 3 жыл бұрын
Usually Todd's Paralysis will improve by itself, you need to evaluate Seizure with either ct or mri...
@akshaymahalle2499
@akshaymahalle2499 3 жыл бұрын
@@AETCMEmergencyMedicine thank u so much sir🙏.... sir also make a video on sickle cell crisis management
@AETCMEmergencyMedicine
@AETCMEmergencyMedicine 3 жыл бұрын
Available
@resmiarun2189
@resmiarun2189 3 жыл бұрын
Sir plz do cranial nerve examination video.Thank you for the great presentation🙏
@AETCMEmergencyMedicine
@AETCMEmergencyMedicine 3 жыл бұрын
Alreday available please check
@medguy8227
@medguy8227 3 жыл бұрын
Also in the peripheral centre scenario without CT scan, how can we start anti-platelets without ruling out hemorrhage?
@AETCMEmergencyMedicine
@AETCMEmergencyMedicine 3 жыл бұрын
Please read the pinned comment
@medguy8227
@medguy8227 3 жыл бұрын
@@AETCMEmergencyMedicine Thank you Sir. Excellent presentation and discussion.
@sumitaghosh3233
@sumitaghosh3233 3 жыл бұрын
What does dense leison means .
@user-xl1to2ql7f
@user-xl1to2ql7f 2 жыл бұрын
Upper limb and lower limb equally involved So site must have fibers to both closely located , internal capsule
@rawat54611
@rawat54611 Жыл бұрын
Bp- 133/85? Odd values
@AETCMEmergencyMedicine
@AETCMEmergencyMedicine Жыл бұрын
Monitor can give that values
@sushrutasaha574
@sushrutasaha574 2 жыл бұрын
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