world stroke day

55 yrs old female complaints of weakness of both left upper limb Nd lower limb BP:220/130mmg not a known case of htn/DM

Stroke (also known as Brain Attack) occurs when blood supply to the brain is affected due to either blockage or leakage (or both blockage and leakage) of a blood vessel responsible for supplying or draining blood to and from the brain, thereby, causing brain damage leading to difficulty in movements, sensation, speaking, vision etc. or at times to death. Types of stroke Ischemic Stroke:In India about 70-75% of all strokes are ischemic, in which blood flow to the brain is blocked by blood clots or fatty deposits (also known as plaque) in blood vessel linings. Hemorrhagic Stroke:It occurs when a blood vessel leaks in the brain. Blood accumulates and compresses the surrounding brain tissue. This is also called ‘Brain hemorrhage. Intracerebral hemorrhage: It is the most common type of hemorrhagic stroke. It occurs when an artery in the brain leaks, flooding the surrounding tissue with blood. Subarachnoid hemorrhage: It is bleeding in the area between the brain and its covering consisting of layers of tissue. Transient ischemic attack (TIA) is a "warning stroke" or a "mini-stroke" that results in no lasting damage. Recognizing and treating TIAs immediately can reduce your risk of a major stroke. Symptoms Stroke can affect any movement, senses, speech, behavior, thoughts, memory, and emotions. The body may become paralyzed or weak. The five most common symptoms of stroke are Weakness or Numbness of the face, arm, or leg. Confusion or trouble speaking or understanding others. Difficulty in vision Difficulty in walking or loss of balance or coordination. Severe headache with unknown cause. Causes Presence of following risk factors place people at increased risk for developing stroke. A.Non-modifiable Family history Old age Male sex B.Modifiable High blood pressure Diabetes High cholesterol Heart disease Smoking (as it injures the blood vessels and speeds up the hardening of the arteries) Consuming excessive alcohol (as it increases the blood pressure) Low socioeconomic status Source : NHP

85y/m, loss of consciousness since 2hrs, vomiting 1episode BP 150/100mm of hg, pr 150/min, pin pointed pupils no h/o dm and htn what is the cause for loss of consciousness and rx?

65yrold male c/o left sided upper and lower limb weakness since 3days, difficulty in speech, k/c/o Hypertension on irregular medication. ur comments on CT head and treatment guidance pls!!!

*Chief Complaint* A 33-year-old male presents with complaint of worsening confusion for 1 month. *History* He had a history of headaches for 8-9 months, which has recently increased in frequency for 2 months. No history of any other symptom like fever or weight loss. He had a h/o smoking tobacco and marijuana. *Vitals* BP: 125/85 mmHg HR: 66 beats/minute Respiratory rate: 20/minute Temp: 97.6˚F Oxygen saturation of 99% on room air. *Investigations* He was alert and oriented to place and person. All physical examination was normal. His urine toxicology test was positive for marijuana and cocaine. CT brain is attached below. *Diagnosis* What do you interpret from CT brain? *Treatment* Please give your comments.