Doctor insights on:
Is Hemorrhage In Mother A Symptom Of Hypovolemic Shock
Joke?: I hadn't heard of the "t-position" until i just googled it - seems to be favorable for sex. I can't think of any reason why someone in hypovolemic shock can't lie supine with their legs crossed (it actually is favorable) however, rapid volume expansion with intravenous fluid should also be used. Sex is contraindicated until the shock is reversed. ...Read more
Hypovolemic shock as the name implies is a shock state due to low circulating intravascular volume. This could be hemorrhagic, due to blood loss or non-hemorrhagic due to profound dehydration from fluid loss such as vomiting, or diarrhea , burns or poor oral intake. Treatment starts with large volume intravenous fluid replacement and correction ...Read more
Fluids, then blood.: Post-partum hemorrhage is the loss of morethan 500 ml of blood after vaginal delivery, or 1000 ml of blood after cesarean section. It is the most common cause of perinatal maternal death in the modern world. The management is similar to shock since fluid loss occurs. First crystalloid solution, then blood units if loss is >2000 ml or shock progresses despite aggressive replacement. ...Read more
Etiology dependent: This depends on the cause of your first subarachnoid hemorrhage. If it was aneurysmal, and the aneurysm was clipped or coiled and there are no others--then unlikely. This assumes you manage your blood pressure and there are no genetic risk factors.If it was traumatic and you suffer no further trauma-- unlikely. There are occasional subarachnoid hemorrhages where no cause is found. ...Read moreSee 1 more doctor answer
Multiple causes: High blood pressure is the most common cause of intracerebral hemorrhage. Also if an aneurysm ruptures, it leaks blood into the space around the brain. Ruptured brain aneurysms are fatal in about 40% of cases. Amyloid angiopathy, head trauma and liver disease just to name a few. ...Read more
Great question: There are many researchers trying to answer this question. Brain regions that process emotion, attention and complex tasks are disrupted in individuals with bipolar disorder. In a manic state, these abilities are broken. Many questions remain, including whether the brain is experiencing similar disruptions in manic and psychotic states. ...Read moreSee 1 more doctor answer
Unfortunately,: Generically, the mortality rate, within one year, from an intracerebral hemorrhage is 60%, year in and year out. When the blood enters the ventricle, there appears to be even a grimmer outcome. If survival does ensue, there is a risk of communicating hydrocephalus. Although poor prognosis here, would have family conference with your doctors and understand what they think. ...Read moreSee 1 more doctor answer
Yes!: Systolic BP (the upper number) should be less than 130 mmhg while on medications. Uncontrolled hypertension can lead to strokes, heart attacks and other bad problems. If you are on 3 or more meds for your bp, you may be a candidate for renal artery denervation. Get a home BP monitor and check your BP twice a day at random times, take this log to your doctor to get your BP down! ...Read moreSee 1 more doctor answer
Many ways: There are many reasons for a stroke. High blood pressure, embolic, cerebral aneurysm rupture, or bleeding problems. If high blood pressure the source, control blood pressure. If you have infected or artificial heart valves, use coumadin (warfarin). If carotid stenosis, control cholesterol, take mini asoirin, carotid enderectomy surgery if necessary. Cerebral aneurysm repair or coil placed. Pineapple, dark ch. ...Read more
Rapid, thready pulse: Many different causes -- treatment and prognosis depends on the cause. ...Read more
In cirrhosis does the presence of ascites always indicate decompensation and is this considered a serious complication and stage of the disease?
It is concerning: Ascites- buildup of fluid in the abdominal cavity- can be a sign of serious decompensation in the liver function. This is usually seen in the later stages of liver failure. If this is seen you should let your doctor know right away. This is associated with decreased survival. However if the cause of the liver damage is found early-& treated this can delay progression. Cirrhosis can't be undone. ...Read moreSee 1 more doctor answer
Think this way: Like stepping on a garden hose cuts down the amount of water coming out of the hose, a vasodilator would remove your foot from the hose allowing more water to flow. Similarly, vasodilators enhance blood flow through a constricted vessel and help blood flow to an area being robbed of that important blood. ...Read moreSee 1 more doctor answer
Diseased: Electrical conduction system. Age likely cause. Non diabetics get this too. ...Read more
Is it possible for an anemia of chronic disease, which needs iv iron transfusion, to precipitate to encephalopathy in a setting of extreme stress?
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