world stroke day

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

65yrs/F Diabetic and hypertensive presented with H/o Sudden onset drop in conscious level and vomiting yesterday. *Chief Complaints* Altered mental status, vomitting *History* HTN, Diabetes *Vitals* Bp -180/90,HR -110,RR -24,Spo2 -98% on room air *Physical Examination* GCS -11/15,Pupils - B// Small size reactive to light,Plantars B/l extensors *Diagnosis* DIAGNOSIS *Management* MANAGEMENT PLAN?

A 35 years old male patient, complaining with sudden onset of vertigo followed by weakness of left sided UL and LL, with slurring of speech and deviation of angle of mouth towards right side since tomorrow at around 6: 35 AM. *Chief Complaints* Vomiting, headache, Hypertension, difficult to speech and movement *History* Vomiting 5 to 6 episodes No H/O convulsion, LOC No previous H/O T2DM *Vitals* BP 180/100mmHg Pulse 68bpm R/R 24/m Spo2 94% Temp. 98.4F *Physical Examination* Chest B/L clear CVS s1 & s2 P Abdo. Soft Pupil RUL RUL NAD RLL NAD *Investigations* Reports are submitted here *Management* Foley's Ryles tubation PPI Inj. Levera 500mg Inj. PCM 1 gm Inj. Zofer Mannitol NK Plus Dexona Cort -S Arkamin Telma AM Physiotherapy Patient's condition is today good... BP settle down. Please suggest for ahead better management.

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

b'A 62 year old female sudden fall on the ground ....right side upper and lower limb weakness \n\nBP 140 / 90 \nPulse 104 \nTrop T postive\n\nReports attached\nPlease appropriate treatment ????'