Doctor insights on:
Bone Infarction Treatment
Here are my thoughts: Placental infarcts, if they occur in an ongoing pregnancy, would lead me to have concern for the well being of the fetus. So addressing the underlying disease that caused the infarcts is important. In addition testing of the fetus for its well being should occur. I might also treat the mom so that the fetus received the best placental function possible, examples: rest, hydration & possibly oxygen. ...Read more
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
STEMI: Most recent thing I've seen is a report that stem cell treatment didn't improve ventricular function. This is still very preliminary however. ...Read more
Delay=bad: The longer the delay, the higher the incidence of death. Hence the expression, "time is myocardium". ...Read more
My father had recently diagnosed by chronic lacuna infarction in capsule ganglion region and bilateral Corona radiata. Please suggest me the treatment?
Explanation: Your father need to discuss his treatment with doctor, who know his clinical condition, age and other medical problems. It's important to know all picture. Explain this to your father. Sometimes parents do not want share their medical problems with children or other relatives. And doctor must follow their instructions. ...Read more
Nothing: If caught early, thrombolytics (clot dissolving agents) can be instilled. But once infrarction has occurred it is too late for thrombolytics. ...Read more
Friend has had cerebellar infarction, MRI is: pundate hyperintense area in bilateral inf. Cereblr region, hypointense on t1, hyperintense on t2, retriction on div I s/o aorta enfarct. Best treatment?
Time: This means the tissue has recently died in small areas (punctate) of the cerebellum. It is hard to tell (without examining, watching the changes, and knowing the history) to predict the outcome. ...Read more
Two things:: First and foremost, control the underlying contributing factors to the strokes, ie: the high blood pressure or cholesterol or smoking, etc. Secondly is to treat the dementia by increasing acetylcholine in the brain with aricept, etc and to decrease glutamate with namenda (memantine). ...Read more
Stroke is: The cause of multi-infarct dementia. Management is to prevent other strokes from occurring. See doctor regularly to keep blood pressure, cholesterol and diabetes (if you have it) under good control. If abnormal heart rhythm (atrial fibrillation) is present, then would need blood thinner to prevent blood clots in heart which can lead to stroke. ...Read more
70 year old woman, diabetic and hypertension. Implications of Acute Lacunar Infarct in left thalmus. What does it signify and what is the treatment.
Small stroke.: Small clots in ur brain. Nothing much u can do. May use ASA and Clopidogrel as per ur MD. Also have Carotid doppler. ...Read more
What is the treatment for cerebral infarct with reportedly 80% brain dead and what is the chance for survival and recovery of consciousness?
Brain infarct: This is a grave condition. Speaking with the attending physicians and staff are your best source of information and answer to your questions. ...Read more
MRI shows chronic infarct right cerebellar hemisphere and inferior vermis with internal hemorragic areas. TREATMENT & PROGNOS? TIME F COMPLT RECOVERY?
Depends upon cause:
A cerebellar infarct in someone of your age would likely be due to an embolic cause. Considerations include vertebral dissection, valvular heart disease, or hypercoagulable state. The treatment is different in each case.
As far as recovery, the human brain is quite plastic and will continue to improve as long as you stimulate it. In cerebellar disease special attention is paid to balance. ...Read more
My mom was diagonised of acute infarct in the pons, she can neither sit, walk, talk nor swallow well. What treatment can she have?
Bad news: Pons is a very critical part of the brain that keeps us mobile and functional. Infarction (usually due to a stroke) means a severe damage (near dead brain cells) which rarely recovers leaving a person like brain dead. Unfortunately there is no good treatment for it. Palliative care (home hospice) is all that one can do in order to keep her comfortable. ...Read more
Please tell the treatment of " chronic infarct in left periventricular white matter in frontal region with age related gross diffuse cerebral atrophy"?
Would an infection of mastoid/ temperol bone-posterior show on a CT scan of the head? Is it possible to mistake it for an old infarction?
After 16 w of HCV treatment, stopped due to huge constant pain in heart. I had EKG and it showed normal sinus rhythm, septal infarct age undetermined.?
Work up: I am assuming you were treated with PEG INF and ribavarin combo. At age 26 having a septal infacrt is very rare. Suspect the EKG needs to be repeated and if shows the same changes then seeing a heart doc would be an option. Heart disease in your age and gender is almost unheard of. Best of luck. ...Read more
http://en. Wikipedia. Org/wiki/Myocardial_infarction
Myocardial infarctio: Usual symptom is unrelenting substernal chest pain with shortness of breath, perhaps lightheaded and nausea. If patient gets promptly to medical care, aspirin, beta blocker, perhaps other platelet inhibitor or thrombolytic agent and other meds; if interventional capable center may rapidly go to cath lab for diagnosis and possible interventional procedure. ...Read more
What specifc therapy can be given to multi infarct stroke dementia patient, 67, to improve cognitive functions and part memory loss. Also need tips for the caregiver to understand the patients needs?
Support groups: A support group for caregivers of dementia patients or alzheimer's patients can be very helpful. There you can find out from others what their troubles have been and what they have tried. The alzheimer's association or the alzheimer's foundation of america have good online websites with information that often applies to all types of dementia including multiinfarct or vascular dementia. ...Read more
Are there any non standard or special new treatments for multi infarct stroke dementia patient with loss of memory, cognitive functions?
No: At the present time, there is no new or novel treatment in patients who already had a stroke. There is only prevention of future strokes. ...Read more
New guidelines 2013:
Link for new guidelines: http://content. Onlinejacc. Org/article. Aspx? Articleid=1486115
lot of newer things:
more focus on therapeutic hypothermia
focusing on reducing time to treatment
increased role of prehospital medical personnel (emts etc) in activating cardiac teams at the hospital before patient arrival. ...Read more
Depends: Treatment is directed at what is the cause of the spur. Is it biomechanical: orthotics would be helpful. Is it due to a tight shoe: change shoes. Is it due to a deformity of some kind. Then this should be addressed. Palliative treatment, including injections can be done. Surgery to remove spur can be performed if indicated. ...Read more
When the blood supply of a tissue is compromised by whatever mechanism, the tissue will stop working and if blood flow is not restored, the tissue will eventually die ("infarct", both verb and noun). The clinical picture that runs with development of an infarct ("heart attack"; ...Read more