Stroke Etiology

Document stroke etiology required Large artery atherosclerosis Cardiac embolism Small Vessel disease Other determined etiology Dissection Hypercoagulability Other Cryptogenic Stroke Multiple potential etiologies Undetermined etiology Unspecified...

Acute Stroke 5 – after 24 hr

Check the following if not already done If TPA not given, document reason Antiplatelet if not contraindicated. Speech, Occupational, Physical therapy Lipid checked. Other pertinent lab done. High intensity Statin such as Atorvastatin 40-80 mg qd Diet Deep vein thrombosis prophylaxis Document Stroke type/etiology Rehab evaluation if indicated, if...

Screen for Stroke

For non neurologist Use in hospital setting with signs of acute stroke CP-SSS = Cincinnahttps://www.mdcalc.com/cincinnati-prehospital-stroke-severity-scale-cp-sss#use-casesti Prehospital Stroke severity Scaled Use in prehospital setting RACE – Rapid arterial oClusion Evaluation LAMS – Los Angeles Motor Scale...

Hypoxic-ischemic Encephalopathy

Prognosis assessment Prognosis based on history: Out of hospital cardiac arrest 44% survive initially 30% alive at 24 hours 13% at 1 month 6% after 6 months CPR over 15 minutes No patient survive > 6 weeks Other variables for poor prognosis age >70 renal failure prior to event...

Signal Messaging

Signal Private Messenger – web Open source nonprofit organization Both parties need to have Signal installed for encryption to function properly Video call available Disappearing messages Available for android, ios, windows Free Reviews Android Authority – Feb 2020 Tech Radar – Sept 2019 VPN pro – Jan 2019 Google...

SNRI

SNRI Serotonin-Norepihephrine reuptake inhibitor Little or no cholinergic or histaminergic effect Duloxetine, Venlafaxine, Desyenlafaxine has more inhibition of Serotonin uptake. Levomilnacipran preferentially block reuptake of norepinephrine Duloxetine (Cymbalta) Highly protein bound Mainly cleared by liver, <1% excreted in urine. Avoid in liver disease, and CrCl <30 Available in generic...