COVID-19 Reopen started
A gradual reopening is on its way. Remember: the virus is highly contagious. Best way to deal with the epidemic The epidemic is not going away any time soon. No magic pill for the prevention or treatment for the virus. Do not waste your money. Vaccine will not be...
Status epilepticus
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Cerebral edema from brain tumor
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Double antiplatelet
ABCD2 score Age > 60 years old: +2 BP at Transient Ischemic Attack SBP >140 or DBP > 90: +1 Clinical unilateral weakness: +2Isolated speech disturbance: +1 Duration of Transient Ischemic Attack >60 min: +210-59 minutes: +1 Diabetes present: +1...
TPA inclusion exclusion criteria
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Pseudotumor Cerebri
AKA Idiopathic Intracranial hypertension (IHH) Pseudo = False False or mimic a tumor in the brain No brain tumor but has increased intracranial pressure Main symptoms: Headache 90% Transient visual obscurations (blurring, lasting seconds) 70% Intracranial noises (pulsatile tinnitus) 60% Photopsia (floaters): 50% Back pain 50% Retrobulbar pain 40%...
ICHHome
Intracranial Jemorrhage – home page Call NeuroSurgeon Epidural hematoma is a neurosurgical emergency arterial bleed from trauma Commonly seen in young patients Subdural hematoma Seen in older patients Acute, subacute, chronic Subarachnoid hemorrhage Intracerebral hemorrhage Check PT/INR, PTT, Platelets Keep BP systolic under 140 Special treatment plan, select from...
AISTPACandidate
TPA candidate CT head neg Glucose ok No contraindication Explained to Patient or family: verbal consent Action...
AISCTNoBleed
Stroke possible CT head no bleed Glucose ok Review TPA exclusion criteria, no contraindication Decision Last Known normal...