Doctor insights on:
Elderly lady had stroke due to blood clot. Has brain swelling. In a coma. Stroke induced. Chances of survival?
66yr/ m congestive heart failure, stroke, pulmonary embolism, then 2nd massive hemorrhagic stroke, surgery to repair, fell into coma. prognosis?
Atherosclerosis: Depends on one's personal risks smoking, obesity, hypertension, hyperlipemia, diabetes , family history. Simply, one blocks the feeding artery to part of the heart muscle and low flow, or no flow causes ischemia which cause death of the heart cells, which is a heart attack! myocardial infarction is the medical term.Ekg and lab tests show the damage. ...Read moreSee 2 more doctor answers
Pathophysiology: Ischemic stroke occurs when an artery to the brain is blocked.A thrombotic stroke occurs when diseased or damaged cerebral arteries become blocked by the formation of a blood clot within the brain. An embolic stroke is also caused by a clot within an artery, but in this case the clot (or emboli) forms somewhere other than in the brain itself. Hemorrhagic stroke is sudden bleed into the brain. ...Read more
YES: Dehydration causes decreased blood volume of circulating blood. For the heart to keep pumping the same amount of blood (cardiac output), the heart has to speed up therefore causing increased heart rate (tachycardia). When dehydration is extreme, heart rate can be very fast (>>100 bpm) causing 'palpitations' . I.V fluids may be needed to quickly restore blood volume or vascular collapse will occur. ...Read moreSee 1 more doctor answer
See comments: Are you referring to radiology reading of an MRI of brain? In elderly, often thought that white matter lesions are associated with "microvascular angiopathy", sign of potential atherosclerosis. Maybe potential stroke risk, especially lacunar infarct, but not straightforwards. Your physician needs to assess stroke risk. Spots more likely from migraine or prior injury. ...Read more
It can be. : Any situation that causes excessive loss of body fluids (vomiting, diarrhea, severe bleeding, fevers, heat exposure, certain medications, etc) can lead to reduction in the body's entire blood volume. When this happens, part of your body's natural response is to reduce blood flow to some of its organs including kidneys. This can lead to kidney injury which can be detected by a high creatinine. ...Read more
Hypotension: Of the three choices given hypotension makes most sense. Neither cva nor TIA generally produces hypotension. I would be concerned about meds, metabolic and cardiac issues. Needs a few labs to sort this out quickly unless this contradicts his advance directive. ...Read moreSee 1 more doctor answer