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Thrombolytic Therapy Reperfusion Injury Related
Yes: If ct of brain reveal no bleeding and if the pt. Is in the window period ( less than 4.5 hours from symptoms )to receive fibrinolytics ( tpa (alteplase) or others) this is going to break the clot and restore the circulation avoiding serious neurological damage.Aspirin is started 24. Hrs later after tombolytics. For DVT prevent. Anticoagulants should be used except when hemorrhagic transformation is present. ...Read moreSee 1 more doctor answer
Reperfusion injury: Reperfusion injury refers to tissue damage caused when blood supply returns to the tissue after a period of ischemia or lack of oxygen. The absence of oxygen and nutrients from blood during the ischemic period creates a condition in which the restoration of circulation results in leaking from blood vessel the substances that produce damage to tissue - the degraded enzymes create further damage. ...Read moreSee 1 more doctor answer
Yes: Many types of chemotherapy can directly affect the brain and cause stroke-like symptoms. Some chemotherapy also increases the risk of blood clots, or the risk of bleeding, both of which may cause strokes. Be sure to tell your doctor immediately about these symptoms. ...Read moreSee 1 more doctor answer
There's no conclusive evidence that hyperbaric oxygen therapy — which involves breathing pure oxygen in a special pressurized chamber — improves the outcome of stroke: Some researchers theorize that increasing the supply of oxygen to the parts of the brain affected by stroke may reduce the extent of irreversible damage. But this has not been proved. Too few people have been studied to say whether hyperbaric oxygen therapy decreases the chance of dying or if it offers other benefits, such as improving the ability to perform everyday tasks. Although hyperbaric oxygen therapy has been found useful in the treatment of a number of conditions — such as decompression sickness and carbon monoxide poisoning — more research is needed to evaluate what, if any, role it plays in stroke treatment. ...Read moreSee 1 more doctor answer
Does repeat dengue fever (hemorrhagic) cause vascular damage leading to initiating aortic dissection ?
Time critical: Within 3 hours of symptoms ( up to 4.4 hours in some cases ) intravenous tpa (alteplase). After that up to 6 hours, intraarterial tpa (alteplase) through a catheter in the artery to the brain. Up to 8 hours can use special devices to pull clot out of vessel to brain. These procedures usually done at stroke centers. ...Read moreSee 1 more doctor answer
Cause of death: Brain swelling (edema) will eventually cause the brain to herniate through one of the layers of protective scaffolding. This usually leads to wild fluctuations in blood pressure and rapidly to respiratory and cardiac arrest. However, the cause of death is the cause of the brian edema, not the cardiac arrest. ...Read moreSee 1 more doctor answer
What does (1) 436 -Acute, but ill-defined, cerebrovascular disease and (2) 434.10 Cerebral embolism, without mention of cerebral inf codes mean?
What is the general recovery timeline following surgery for bilateral insertional Achilles tendinosis? Damage was caused by flouroquinolone therapy.
Yes: The bruit may represent carotid stenosis, plaque blocking the artery. If a piece of plaque or clot breaks off, then it can travel to brain causing cva/stroke. Doppler should reveal nature of bruit. Vascular surgeon may be consulted to do endarterectomy or stent, if merited. ...Read moreSee 2 more doctor answers
Chronic whiplash injury and luq has malfunctioned. Brachial plexus triggers nerve symptoms but nerves not injured. Starting rehab. Healing possible?
Get diagnosis first: Be efficient, and get answers as to why your injury did not fully heal. Not uncommon is an injury to the brachial plexus from shoulder strap, with eventual scarring, called thoracic outlet syndrome. Therapy does help, but is a specific approach, such as felderkreis work. Both EMG and ultrasound studies could pin down precise mechanism. If you have tos, about 85% success with conservative rx. ...Read more
I do not agree: Radiation to the head and neck area could potentially increase the risk for carotid artery disease years after the treatment. I routinely discuss this risk with my patients whom are being treated for a head and neck cancer. Unfortunately, the treatment with radiation is necessary for their disease so the risk of treatment is outweighed by the benfits. ...Read moreSee 2 more doctor answers
Yes: We have used hbot for brain injuries of all types for over 10 years and have gotten excellent results. If i ever have a condition of this kind, an hbot chamber is one of the first places i want to be. Jain's textbook of hyperbaric medicine is a good starting place for info about the effects of hbot. ...Read moreSee 3 more doctor answers
What is "internal derangement of the knee" mean? Would that term include a previous traumatic med-collateral strain/sprain and/or meniscal injury?
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