Sunday, November 18, 2012

Major clinical features of a stroke patient




Rapid evaluation is essential for a stroke patient. However, patients with acute stroke often do not seek medical assistance on their own, both because they are rarely in pain, as well as because they may lose the appreciation that something are wrong; it is often a family member or a bystander who calls for help. therefore, patients and their family members should be counseled to call emergency medical services if they experiences or witness the sudden onset of the any of the following;

  1.  Contralateral hemiplegia or haemiparesis. Weak limbs are at first flaccid and areflexic, after a variable period of time, the reflexes return, becoming exaggerated, an extensor planter response. Weakness is maximal at first; recovery gradually over days, weak or many months can occur.
  2.   Aphasia (if dominant hemisphere is affected) 
  3.  The clinical feature of major of TIAs-Amaurodis fugax, aphasia,     haemiparesis, hemisensory loss, 
  4. Diplopia, vertigo, vomiting, choking and dysarthria, ataxia, hemisensory loss, hemianopic visual loss, Transient global amnesia, tetraparesis, loss of consciousness-if there is vertebrobasilar system involve ment.More details

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