Concluded Case

55ys male presented with slurred speech left upper and lower limb weakness since this evening. on admission BP 160/100mhg. spo2 was 97% left upper and lower limb power grade 4. speech improved after an hour of admission. he is tobacco chewer, non DM non HTN. his MRI brain, ECG, echo, CXR and routine lab reports are attached plz guide further management.

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Concluded answer
DWI image shows Hyperintensity involving Right Occipito Parietal area...Posterior Cerebral Artery infarct and quite large in size.... Explaining the symptoms of pt.... ICP reduction and conservative management
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MRI BRAIN Right parieto occipital hemorrhage , without midline shift , no intraventricular seepage X-ray chest COPD, Tracheal shift to right, Rt midzone fibrobronciectatic lesion, rt parehilar opacity, cardiomegaly , COPD, old PT sequel. ECG Anterolateral wall ischemia Needs ICU, control of BP, anti brain EDEMA measures, cardiorespiratory support
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DWI image shows Hyperintensity involving Right Occipito Parietal area...Posterior Cerebral Artery infarct and quite large in size.... Explaining the symptoms of pt.... ICP reduction and conservative management
Thank you doctor
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Is haemorrhagic bleed, low dose NTG INFUSION, NURAVON, CITUCHOLIN, STEROID AND CRITICAL MONITORING, FURTHER LOW DOSE ANTIHYPERTENSIVE. TRANQUILIZER SHOULD BE ADDED
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CEREBRAL STROKE ACUTE ISCHAEMIC INFARCTION RT. PCA ADVISABLE.... ANTIBIOTICS ANTIPLATELETS BP. MONITORING
Acute Ischemic infarction RT PCA. Suggest .Antiplatelet, statin BP control, neuroprotective
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Right PCA infarct involves right occipital and parietal areas.
* cerebral stroke
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STROKE?
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Rt.fronto parietal haemorrhagic stroke ,no midline shift ,Ecg shows t inversion in lateral leads it may be hypertensive changes ,bp cntrl with ntg drip and need of mannitol , eptoin
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