: John Walden Cole, David Alway
: David Alway, John Walden Cole
: Stroke Essentials for Primary Care A Practical Guide
: Humana Press
: 9781597454339
: 1
: CHF 85.90
:
: Klinische Fächer
: English
: 204
: Wasserzeichen/DRM
: PC/MAC/eReader/Tablet
: PDF

Stroke Essentials for Primary Care: A Practical Guide is a must-have resource, offering the essential, practical knowledge required to evaluate and treat stroke patients. While an indispensable guide for primary care clinicians, including family practitioners and medical internists who often assume the care of stroke patients without the aid of a neurologist (primarily in underserved areas), the information contained herein is also an invaluable resource to all physicians in training, especially residents and fellows in neurology, cardiology, and surgery, among others. Stroke Essentials for Primary Care: A Practical Guide provides the latest diagnostic and treatment information that allows for greater clinical confidence. Designed to allow easy access to essential information, most chapters include a quick summary of their content and conclusions. Chapters review information on such topics as distinguishing features of presentation, rapid determination of stroke type, prevention strategies, long-term complications, and special topics that may apply to specific populations. Targeted and easy to read, Stroke Essentials for Primary Care: A Practical Guide is an essential resource for all practitioners in primary care medicine and specialty physicians in training.

Series Editor Introduction6
Preface8
Contents9
Contributors11
Identifying Stroke and Stroke Type13
Identifying Stroke13
Typical Symptoms/Signs of Ischemic Stroke and Transient Ischemic Attack14
Typical Signs/Symptoms of Intracerebral Hemorrhage16
Typical Signs/Symptoms of Subarachnoid Hemorrhage17
Typical Signs/Symptoms of Cerebral Venous Sinus Thrombosis20
Ischemic Stroke and Transient Ischemic Attack - Acute Evaluation and Management21
Pathophysiology of Ischemic Stroke21
Early Stroke Recognition and Identification of Stroke Type22
Stroke Recognition by the Community23
Stroke Recognition in the Emergency Room23
Ischemic Stroke Types24
Anterior Cerebral Artery (ACA)24
Middle Cerebral Artery (MCA)24
Posterior Cerebral Artery (PCA)25
Basilar Artery (BA) and Vertebral Arteries (VA)26
Lacunar Syndromes26
A Word About Tissue Plasminogen Activator (tPA)27
Emergency Department Management of Ischemic Stroke28
Rapid Testing28
The NIH Stroke Scale29
Deciding Whether to Administer IV tPA30
Caveats and Special Considerations30
Beyond the 3-h Time Frame31
Inpatient Care32
Blood Pressure32
IV Fluids33
Glucose33
Anticoagulation33
Platelet Inhibition34
Preventing and Treating Stroke Complications35
Deep Venous Thrombosis (DVT)35
Infection Prevention and Treatment35
Cerebral Edema35
Hemorrhagic Transformation36
In-Patient Testing for Stroke/TIA Etiology36
Beginning Preventative Treatment in the Hospital38
Hypertension38
Atrial Fibrillation38
Carotid Artery Stenosis39
Hyperlipidemia39
Smoking Cessation39
Antiplatelet Medication40
Conclusion40
Brief Summary40
References43
Ischemic Stroke and Transient Ischemic Attack: Long-Term Management and Secondary Prevention46
Introduction46
Traditional Risk Factors54
Emerging Risk Factors and Special Considerations57
Medical Therapy60
Surgical Therapy63
Lifestyle Interventions63
References64
Intracerebral Hemorrhage: Acute Evaluation and Management68
Presenting Signs and Symptoms68
Diagnostic Testing68
Etiology/Pathophysiology69
Treatment70
General Measures70
Bleeding Disorders70
Blood Pressure71
Fever71
Hyperglycemia71
Seizure Prophylaxis71
Surgical Intervention for Hematoma Evacuation72
Cerebellar Hemorrhages72
Supratentorial Hemorrhages72
Controversial Interventions73
ICH Complications and Their Treatments73
Hematoma Enlargement73
Edema Formation73
Hydrocephalus74
Increased Intracranial Pressure74
Seizures and Status Epilepticus75
Isolated Seizure76
Status Epilepticus76
Herniation Syndromes76
Secondary Infarcts77
Brief Summary77
References78
Intracerebral Hemorrhage: Long-Term Complications and Prevention80
Introduction80
Outcome After Intracerebral Hemorrhage80
Early Deterioration After Intracerebral Hemorrhage81
Neurologic and Medical Complications After Intracerebral Hemorrhage81
Recurrent Intracerebral Hemorrhage82
Risk of Ischemic Stroke83
Antiplatelet Use After Intracerebral Hemorrhage83
Anticoagulant Use After Intracerebral Hemorrhage84
Primary Prevention of Intracerebral Hemorrhage84
Secondary Prevention of Intracerebral Hemorrhage85
Conclusion85
References86
Subarachnoid Hemorrhage: Diagnosis and Acute Management91
Basic Concepts91
Definition91
Background91
Presenting Symptoms and Signs92
Clinical Presentation92
Headache93
Signs of Meningeal Irritation94
Changes in the Level of Consciousness94
Focal Neurological Manifestations95
Seizures95
Fever95
Intraocular Hemorrhages and Papilledema96
Etiologies (Table 6.3)96
Ruptured Saccular Aneurysm96
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