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Details

Case22
fam med cases
6
Medical
Graduate
01/26/2011

Additional Medical Flashcards

 


 

Cards

Term
Atrial fib (EKG, clinical)
Definition
rapid, irregular, no p waves
-dx w EKG,
-clinical features: dizziness, syncope, dyspnea, palpitations
Term
Acute management of suspected stroke
Definition
ABCs
Neurological assessment
Emergency CT
IV tPA if
-no CT finding (ICH is contraindication)
-dont wait on other labs unless bleeding disorder suspected or pt is on heparin/warfarin
Term
Stroke complications
Definition
Aspiration pneumonia, malnutrition/dehydration and pressure sores

Also: Post-stroke depression
Term
DDx of acute unilateral weakness
Definition
Brain tumor (focal neuro signs will persist)
Seizure disorder (post ictal period is k)
Stroke (TIA<1hour)
Coronary Artery Disease (AFib)
Medications (thiazides, neuropileptics)
Term
AFib management
Definition
IV diltiazem (ca channel blocker), IV betablockers or verapmil
Cardioversion
Term
Secondary Stroke Prevention
Definition
Non-cardioembolic stroke/tia: asprin, asprin+dipyridamole (better than asprin alone), ticlopidine, clopidogrel (use in asprin sens patients)

Cardioembolic: long-term anticoagulation w/ warfarin
-control lipids, HTN, stop smoking, lifestyle
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