Certain blood proteins are tested that can increase the chance of stroke by thickening the blood" (Definition, 2009, Medicine net). With a carotid ultrasound a transducer can send high-frequency sound waves into the patient's neck to look for narrowing of the carotid arteries. In arteriography, a catheter is manipulated through the patient's major arteries to examine them after the arteries are injected with dye (Tests and diagnosis, 2009, Mayo Clinic).
What medicines, treatments, and/or surgeries are used for a patient who has had a CVA?
The cause of the stroke will determine the patient's course of treatment. For patients with strokes due to coronary factors, anticoagulants are often used to minimize blood clotting. Drugs that can dissolve blood clots may be useful in some patients, as can the administration of oxygen and medications that can help oxygen-starved brain cells survive. With ischemic strokes, blood-thinning drugs, such as aspirin, warfarin and heparin, can restore blood flow to the brain if they are given within three hours. Surgical removal of the clot or the insertion of a stent may be required to open up an artery narrowed by plaques. For a hemorrhagic stroke surgery may also be required, such as aneurysm clipping and arteriovenous malformation (AVM) removal (Treatments and drugs, 2009, Mayo Clinic).
Over the long-term, treating the cause of the stroke is essential. For example, patients with high blood pressure may be more apt to have stroke. Changes in diet, exercise, and prescriptions to treat this condition may be required, although immediately lowering elevated blood pressure into the may further reduce blood flow through narrowed arteries and make the symptoms of the stroke worse and is thus not advised. For diabetes patients, controlling blood sugar and lifestyle changes to mitigate the chance of elevated blood sugar and...
Case Study: JuanitaPatient Information: Juanita Morales is a 47-year-old G5P5LC6 Hispanic female. She presents with symptoms of lower abdominal cramping, urinary leakage, and cessation of menses for 8-12 months. She is well developed and well nourished but obese (BMI 45.89). She has a negative social history for alcohol, tobacco, and recreational drugs. Her last medical exam was several years ago.SubjectiveCC (chief complaint): Lower abdominal cramping and urinary leakage, along with
B.S. DOB: 12/25/1992 GENDER: Female Race: Caucasian RELIGION: Catholic MARITAL STATUS: Single OCCUPATION: College Student CHIEF COMPLAINT: "I am scared. I feel like I can't catch my breath and my chest hurts." Differential Diagnosis: There are a number of differential diagnoses for these presenting symptoms. The major ones will be explored here. Possible Diagnosis Myocardial infarction (MI), angina, acute coronary syndrome Prodromal symptoms include fatigue, chest discomfort, or malaise in the days before the MI. A typical STEMI may occur without
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