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Stroke is also known as Cerebrovascular Accident. This results in the sudden death of the brain cells due to the O2 deficiency when the blood flow to the brain is lost by obstruction/rupture of cerebral arteries which supplies to the brain. Stroke prevention requires the management of the many risk factors important to stroke development. It is important to diagnose stroke as early as possible to reduce the risk of more damage and functional loss. Stroke recovery is an inhomogeneous process, therefore, it is challenging to predict the actual post-stroke outcomes which assure a holistic approach. Rehabilitation can be provided in inpatient or outpatient departments to stroke survivors.
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Stroke is a public health issue. There are well-known and well-established risk factors. This includes Hypertension, Diabetes Mellitus, Lipid disorders, Cardiac disease, Atrial fibrillation and others. However, there are cases when the risk factor is not that obvious. These are called cryptogenic Strokes. This talk elucidates the fewer known causes and the details of investigations.
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Hemiparesis is unilateral paresis, that is, weakness of the entire left or right side of the body (hemi- means "half"). Hemiplegia is, in its most severe form, complete paralysis of half of the body. Hemiparesis and hemiplegia can be caused by different medical conditions, including congenital causes, trauma, tumors, or stroke Hypenension: Commonest cause of intracerebral haemorrhage. Rupture of an intracranial aneurysm, angioma or A-V malformation: commonest cause of subarachnoid haemorrhage. Haemorrhagic blood diseases: purpura, haemophilia. Anticoagulants. Trauma to the head: commonest of subdural haematoma. II. Infective: ; Encephalitis Meningitis – Brain abscess. III. Neoplastic: e.g. Meningioma. IV. Demyelination: multiple sclerosis may present with hemiplegia. V. Traumatic: e.g. Cerebral laceration and subdural haematoma. VI. Hysterical: patient suffering from paralysis in the absence of organic lesion.
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In this lecture on circulatory shock, Dr. Faiza, an Assistant Professor of Physiology, delves into the profound implications of inadequate blood flow throughout the body, leading to tissue damage. The session begins by defining circulatory shock and elucidating its physiological causes, including decreased cardiac output, diminished blood volume, decreased vascular tone, obstruction to blood flow, excess metabolic rate, and abnormal perfusion patterns. Dr. Faiza categorizes shock into various types, such as cardiogenic shock, hypovolemic shock, neurogenic shock, obstructive shock, anaphylactic shock, and septic shock, and explores the pathophysiological basis of each. Furthermore, the lecture examines the stages of shock, from the non-progressive phase where compensatory mechanisms aim for full recovery to the progressive phase where shock worsens steadily without intervention, potentially leading to irreversible damage. Dr. Faiza discusses therapeutic interventions for shock, including replacement therapy, blood and plasma transfusion, sympathomimetic drugs, and other adjunctive treatments like head-down positioning, oxygen therapy, and glucocorticoids.
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Stroke In Children
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Presented by Dr
Harish Kumar Singhal MD (Ay)Sch Guided by Dr Abhimanyu Kumar Dr Moti Rai Department of Bal Roga NIA,Jaipur
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