This document discusses drugs that act on blood components to prevent clotting. It covers anticoagulants like heparin and warfarin that prevent clot formation, fibrinolytics like streptokinase that break down existing clots, and antiplatelets like aspirin and clopidogrel that inhibit platelet aggregation. The stages of coagulation and fibrinolysis are described. Specific drugs are explained including their mechanisms of action, clinical uses, and potential side effects.
This document provides an overview of blood drugs and the coagulation process. It discusses how platelets, coagulation factors, and fibrinogen work together to form blood clots during injury to stop bleeding. It then summarizes different types of drugs that can interfere with coagulation, including platelet inhibitors like aspirin and anticoagulants like heparin. The goal of these drugs is to prevent excessive clotting in certain clinical situations like heart attacks. However, interfering with the body's natural clotting process also increases the risk of bleeding.
Stroke occurs when blood supply to the brain is interrupted, causing neurological deficits. There are two main types of stroke: ischemic, due to lack of blood flow, and hemorrhagic, caused by a burst blood vessel in the brain. Common medications used for stroke treatment include antiplatelets like aspirin for prevention, anticoagulants like warfarin, and thrombolytics like rt-PA administered during an acute ischemic stroke. Actilyse is a thrombolytic medication derived from rt-PA that works to break down blood clots and restore blood flow by activating plasminogen to form the enzyme plasmin. While effective, challenges remain to develop variants of Actilyse with better properties like enhanced clot penetration
The document discusses principles of hemostasis, thrombosis, and anticoagulants. It describes the three stages of hemostasis as blood vessel constriction, formation of a platelet plug, and formation of a clot. Thrombosis is defined as the pathological formation of a thrombus, or blood clot, which can lead to conditions like heart attack, stroke, or deep vein thrombosis. Several types of anticoagulants are mentioned, including vitamin K antagonists like warfarin, heparin and related molecules, and hirudins, along with their basic mechanisms of action in preventing blood clotting.
Platelets are cell fragments in the blood that help form blood clots to stop bleeding. They circulate for 7-10 days and are produced by megakaryocytes in the bone marrow. When the endothelial lining of blood vessels is damaged, platelets adhere to collagen and activate to aggregate and secrete chemicals that promote clotting. This platelet plug formation helps form thrombi to stop bleeding. Abnormal platelet counts or function can lead to bleeding or clotting disorders. Platelets are used in transfusions to treat low platelet counts but have a short shelf life of 5-7 days.
Coagulant & AntiCoagulant Haemostasis (arrest of blood loss) and blood coagulation involve complex interaction between the injury vessel wall, platelets and coagulation factors
Coagulation: In medicine, the clotting of blood. The process by which the blood clots to form solid masses, or clots.
More than 30 types of cells and substances in blood affect clotting. The process is initiated by blood platelets. Platelets produce a substance that combines with calcium ions in the blood to form thromboplastin, which in turn converts the protein prothrombin into thrombin in a complex series of reactions. Thrombin, a proteolytic enzyme, converts fibrinogen, a protein substance, into fibrin, an insoluble protein that forms an intricate network of minute threadlike structures called fibrils and causes the blood plasma to gel. The blood cells and plasma are enmeshed in the network of fibrils to form the clot.
This document discusses drugs that act on blood components to prevent clotting. It covers anticoagulants like heparin and warfarin that prevent clot formation, fibrinolytics like streptokinase that break down existing clots, and antiplatelets like aspirin and clopidogrel that inhibit platelet aggregation. The stages of coagulation and fibrinolysis are described. Specific drugs are explained including their mechanisms of action, clinical uses, and potential side effects.
This document provides an overview of blood drugs and the coagulation process. It discusses how platelets, coagulation factors, and fibrinogen work together to form blood clots during injury to stop bleeding. It then summarizes different types of drugs that can interfere with coagulation, including platelet inhibitors like aspirin and anticoagulants like heparin. The goal of these drugs is to prevent excessive clotting in certain clinical situations like heart attacks. However, interfering with the body's natural clotting process also increases the risk of bleeding.
Stroke occurs when blood supply to the brain is interrupted, causing neurological deficits. There are two main types of stroke: ischemic, due to lack of blood flow, and hemorrhagic, caused by a burst blood vessel in the brain. Common medications used for stroke treatment include antiplatelets like aspirin for prevention, anticoagulants like warfarin, and thrombolytics like rt-PA administered during an acute ischemic stroke. Actilyse is a thrombolytic medication derived from rt-PA that works to break down blood clots and restore blood flow by activating plasminogen to form the enzyme plasmin. While effective, challenges remain to develop variants of Actilyse with better properties like enhanced clot penetration
The document discusses principles of hemostasis, thrombosis, and anticoagulants. It describes the three stages of hemostasis as blood vessel constriction, formation of a platelet plug, and formation of a clot. Thrombosis is defined as the pathological formation of a thrombus, or blood clot, which can lead to conditions like heart attack, stroke, or deep vein thrombosis. Several types of anticoagulants are mentioned, including vitamin K antagonists like warfarin, heparin and related molecules, and hirudins, along with their basic mechanisms of action in preventing blood clotting.
Platelets are cell fragments in the blood that help form blood clots to stop bleeding. They circulate for 7-10 days and are produced by megakaryocytes in the bone marrow. When the endothelial lining of blood vessels is damaged, platelets adhere to collagen and activate to aggregate and secrete chemicals that promote clotting. This platelet plug formation helps form thrombi to stop bleeding. Abnormal platelet counts or function can lead to bleeding or clotting disorders. Platelets are used in transfusions to treat low platelet counts but have a short shelf life of 5-7 days.
Coagulant & AntiCoagulant Haemostasis (arrest of blood loss) and blood coagulation involve complex interaction between the injury vessel wall, platelets and coagulation factors
Coagulation: In medicine, the clotting of blood. The process by which the blood clots to form solid masses, or clots.
More than 30 types of cells and substances in blood affect clotting. The process is initiated by blood platelets. Platelets produce a substance that combines with calcium ions in the blood to form thromboplastin, which in turn converts the protein prothrombin into thrombin in a complex series of reactions. Thrombin, a proteolytic enzyme, converts fibrinogen, a protein substance, into fibrin, an insoluble protein that forms an intricate network of minute threadlike structures called fibrils and causes the blood plasma to gel. The blood cells and plasma are enmeshed in the network of fibrils to form the clot.
Coagulants and anticoagulants are used to control bleeding and clotting. Coagulants promote clotting while anticoagulants prevent clotting. Coagulants include thrombin and thromboplastin, which can be applied locally to control oozing of blood from small vessels. Transfusional coagulants include specific clotting factors administered to replace deficient factors. Nontransfusional coagulants include vitamin K, which is necessary for the production of several clotting factors in the liver.
Individualized Webcam facilitated and e-Classroom USMLE Step 1 Tutorials with Dr. Cray. Starting at $50.00/hr., depending on pre-assessment. 1 BMS Unit is 4 hr. General Principles and some Organ System require multiple units to complete in preparation for the USMLE Step 1 A HIGH YIELD FOCUS IN Biochemistry / Cell Biology, Microbiology / Immunology and the 4 P’s-Phiso, Pathophys, Path and Pharm. Webcam Facilitated USMLE Step 2 Clinical Knowledge and Clinical Skills diadactic tutorials /1 Unit is 4 hours, individualized one-on-one and group sessions, Including all Internal Medicine sub-sub-specitialities. For questions or more information.. drcray@imhotepvirtualmedsch.com
This document discusses coagulants and anticoagulants. It describes how coagulants promote coagulation and control bleeding, including systemic coagulants like vitamin K, tranexamic acid, and fibrinogen. Local coagulants called styptics are also discussed. Anticoagulants prevent coagulation and control conditions involving excessive clotting. Common anticoagulants described are heparin, low molecular weight heparin, warfarin and newer oral anticoagulants. Warfarin is a vitamin K antagonist that inhibits vitamin K-dependent clotting factors. Its mechanism of action and factors affecting dosing are summarized.
This document discusses hemostatic agents used to treat thrombi (blood clots). It describes three main types of drugs: platelet aggregation inhibitors like aspirin that decrease new clot formation; anticoagulants like heparin and warfarin that interrupt the clotting cascade; and fibrinolytics like streptokinase that directly break up existing clots. Aspirin is used to treat possible heart attacks, while heparin and warfarin are used long-term in high-risk patients. Fibrinolytics must be given quickly, so paramedics can administer them pre-hospital. The document provides examples and mechanisms of action for several specific drugs in each category.
coagulants in detail with all drugs, mechanism of action, advantages, adverse effect, contraindication with example and pictures.
in simplified manner , easy to understand
This document discusses blood coagulation and thrombosis. It begins by defining coagulation as the process by which blood loses fluidity and becomes a jelly-like clot. It then describes the stages of clotting including formation of prothrombin activator, conversion of prothrombin to thrombin, and conversion of fibrinogen to fibrin. The coagulation cascade and factors involved are also outlined. The document further discusses thrombosis, its causes including endothelial injury, alterations in blood flow, and hypercoagulability. Common sites of arterial and venous thrombi are compared. Oral health considerations and dental management of patients with bleeding disorders are summarized.
This document discusses coagulants and anticoagulants. It describes the four factors involved in blood clotting and the coagulation process. Anticoagulants prevent blood clotting in blood vessels and are classified as in vitro or in vivo. Common anticoagulants include heparin, warfarin, anisindione, and clopidogrel. Anticoagulants interfere with vitamin K dependent clotting factor synthesis in the liver by inhibiting the gamma-carboxylation of certain clotting factors, which is essential for their coagulation function.
This document discusses various drugs that affect blood fluidity and the hemostatic system. It describes anticoagulants like heparin and warfarin that prevent blood clotting through different mechanisms. It also covers antiplatelet drugs like aspirin and clopidogrel that inhibit platelet aggregation. Thrombolytics like tissue plasminogen activator and streptokinase are discussed as agents that lyse blood clots. The causes and treatments of anemia are summarized, including iron deficiency and megaloblastic anemias related to vitamin B12 and folate deficiencies.
This document discusses various types of hemorrhagic diathesis including hemophilia, thrombocytopenia, hemoblastosis, and acute and chronic leukemia. It provides diagnostic criteria and treatment approaches for each condition. Hemophilia is described as a congenital bleeding disorder caused by a deficiency in coagulation factors. Thrombocytopenia involves a low platelet count and can cause bruising. Hemoblastosis refers to cancers of the blood system including acute and chronic forms of leukemia.
This document discusses various causes of hemorrhagic diathesis, or increased bleeding tendency. It describes vessel wall abnormalities that can cause less serious bleeding with normal coagulation tests. These include microbial damage, scurvy, drugs, and amyloid infiltration. Thrombocytopenia can also cause bleeding and can result from decreased platelet production or survival. Specific causes mentioned include immune thrombocytopenic purpura in children and adults. Thrombotic microangiopathies like thrombotic thrombocytopenic purpura and hemolytic uremic syndrome involve microthrombi formation and can lead to multiple organ failure.
Alteplase is a thrombolytic agent produced through recombinant DNA technology. It is used to treat heart attacks, pulmonary embolisms, and strokes by breaking up blood clots through the conversion of plasminogen to plasmin. The drug has a short half-life of 4-8 minutes and is administered via intravenous infusion over hours. Side effects include bleeding and hemorrhaging while drug interactions can increase the risk of bleeding when combined with other anticoagulants. Patients are counseled about monitoring for signs of bleeding after treatment.
This document discusses various bleeding disorders including:
- Definition as a disorder characterized by spontaneous or excessive bleeding following trauma.
- Etiologies including vessel wall abnormalities (congenital or acquired like vasculitis) and platelet functional disorders.
- Specific disorders discussed in more detail include von Willebrand disease, hemophilia, Bernard-Soulier syndrome, and Glanzmann's thrombasthenia.
- Clinical features, laboratory findings, and treatment approaches are provided for many of the disorders.
Hemorrhagic diathesis i (bleeding disorders)Bishal Chauhan
1. The document discusses common screening tests for bleeding disorders including bleeding time, platelet count, prothrombin time, and partial thromboplastin time.
2. It also lists and describes common bleeding disorders such as immune thrombocytopenic purpura, hemophilia A, hemophilia B, von Willebrand disease, and disseminated intravascular coagulation.
3. The pathogenesis, clinical features, and treatment of immune thrombocytopenic purpura are explained in detail, noting it is caused by autoantibodies destroying platelets and treated commonly with corticosteroids or splenectomy.
Pathology of Cardiomyopathies
Literally means “disease of the heart muscle”.
Term “cardiomyopathy” is used to describe heart disease resulting from an abnormality in the myocardium.
Diseases of the myocardium usually produce:
>abnormalities in cardiac wall thickness and chamber size.
>mechanical or electrical dysfunction
>associated with significant morbidity and mortality.
Thrombolytic agents work by converting plasminogens to plasmin, which breaks down blood clots. There are fibrin-specific agents like tPA that produce limited plasminogen conversion only in the presence of clots, and non-fibrin specific agents like streptokinase that cause systemic clot lysis. Common thrombolytic drugs include tPA, streptokinase, and reteplase. While these drugs can treat conditions like heart attacks and pulmonary embolism, they should not be used in cases of active bleeding, recent surgery, or severe uncontrolled hypertension due to the risk of hemorrhage.
Abnormal Types of Breathing, Hypoxia, Cyanosis, AsphyxiaUMAMAHISHAQ
This document discusses different types of breathing patterns and hypoxia. It describes Cheyne Stokes breathing as having alternating periods of hyperventilation and apnea with a gradual transition between periods. Biot breathing also has periods of hyperventilation and apnea but with an abrupt transition. Different causes of hypoxia are outlined including arterial hypoxia from low oxygen in air, anemic hypoxia from low hemoglobin, ischemic hypoxia from low blood flow, and histotoxic hypoxia from issues with tissue oxygen utilization.
The terms leukopenia and neutropenia are often used interchangeably. However, they refer to slightly different conditions. Leukopenia is an umbrella term that refers to a reducation in any of the white blood cell types.
Neutropenia is a type of leukopenia but refers specifically to a decrease in neutrophils, the most common type of white blood cell. A person’s neutrophil count is an important indicator of their infection risk.
This document defines anemia and describes its causes and symptoms. Anemia is a reduction in red blood cells or hemoglobin below normal levels. It can be classified based on red blood cell morphology or etiology. Common causes include blood loss, red blood cell destruction, nutritional deficiencies, and bone marrow disorders. Symptoms result from reduced oxygen carrying capacity and include fatigue, paleness, weakness, and increased heart rate. Severe anemia places greater workload on the heart and can lead to cardiac failure during exercise due to extreme tissue hypoxia.
A stroke occurs when blood flow to the brain is interrupted, depriving brain cells of oxygen. There are two main types of stroke: ischemic, caused by a blood clot blocking an artery, and hemorrhagic, caused by a ruptured blood vessel in the brain. Symptoms appear suddenly and may include paralysis, speech problems, and vision issues. Strokes are medical emergencies that require immediate diagnosis through scans and tests to identify the type and appropriate treatment, which may include clot-busting drugs or surgery. Rehabilitation is often needed and focuses on regaining abilities through therapies. Prevention emphasizes controlling risk factors like high blood pressure, diabetes, smoking, and high cholesterol through healthy lifestyle choices and medical management
This document discusses hypertensive diseases and their complications. It begins by outlining various hypertensive diseases that can affect the cerebrovascular system, eyes, heart and kidneys. It then defines hypertension and hypertensive emergencies/urgencies. The remainder of the document provides more details on specific hypertensive diseases and complications, including hypertensive encephalopathy, cerebrovascular accidents, retinopathy, left ventricular hypertrophy, coronary artery disease, cardiac arrhythmias, congestive heart failure, benign and malignant nephrosclerosis. It also discusses diagnostic criteria and management of various hypertensive conditions.
Coagulants and anticoagulants are used to control bleeding and clotting. Coagulants promote clotting while anticoagulants prevent clotting. Coagulants include thrombin and thromboplastin, which can be applied locally to control oozing of blood from small vessels. Transfusional coagulants include specific clotting factors administered to replace deficient factors. Nontransfusional coagulants include vitamin K, which is necessary for the production of several clotting factors in the liver.
Individualized Webcam facilitated and e-Classroom USMLE Step 1 Tutorials with Dr. Cray. Starting at $50.00/hr., depending on pre-assessment. 1 BMS Unit is 4 hr. General Principles and some Organ System require multiple units to complete in preparation for the USMLE Step 1 A HIGH YIELD FOCUS IN Biochemistry / Cell Biology, Microbiology / Immunology and the 4 P’s-Phiso, Pathophys, Path and Pharm. Webcam Facilitated USMLE Step 2 Clinical Knowledge and Clinical Skills diadactic tutorials /1 Unit is 4 hours, individualized one-on-one and group sessions, Including all Internal Medicine sub-sub-specitialities. For questions or more information.. drcray@imhotepvirtualmedsch.com
This document discusses coagulants and anticoagulants. It describes how coagulants promote coagulation and control bleeding, including systemic coagulants like vitamin K, tranexamic acid, and fibrinogen. Local coagulants called styptics are also discussed. Anticoagulants prevent coagulation and control conditions involving excessive clotting. Common anticoagulants described are heparin, low molecular weight heparin, warfarin and newer oral anticoagulants. Warfarin is a vitamin K antagonist that inhibits vitamin K-dependent clotting factors. Its mechanism of action and factors affecting dosing are summarized.
This document discusses hemostatic agents used to treat thrombi (blood clots). It describes three main types of drugs: platelet aggregation inhibitors like aspirin that decrease new clot formation; anticoagulants like heparin and warfarin that interrupt the clotting cascade; and fibrinolytics like streptokinase that directly break up existing clots. Aspirin is used to treat possible heart attacks, while heparin and warfarin are used long-term in high-risk patients. Fibrinolytics must be given quickly, so paramedics can administer them pre-hospital. The document provides examples and mechanisms of action for several specific drugs in each category.
coagulants in detail with all drugs, mechanism of action, advantages, adverse effect, contraindication with example and pictures.
in simplified manner , easy to understand
This document discusses blood coagulation and thrombosis. It begins by defining coagulation as the process by which blood loses fluidity and becomes a jelly-like clot. It then describes the stages of clotting including formation of prothrombin activator, conversion of prothrombin to thrombin, and conversion of fibrinogen to fibrin. The coagulation cascade and factors involved are also outlined. The document further discusses thrombosis, its causes including endothelial injury, alterations in blood flow, and hypercoagulability. Common sites of arterial and venous thrombi are compared. Oral health considerations and dental management of patients with bleeding disorders are summarized.
This document discusses coagulants and anticoagulants. It describes the four factors involved in blood clotting and the coagulation process. Anticoagulants prevent blood clotting in blood vessels and are classified as in vitro or in vivo. Common anticoagulants include heparin, warfarin, anisindione, and clopidogrel. Anticoagulants interfere with vitamin K dependent clotting factor synthesis in the liver by inhibiting the gamma-carboxylation of certain clotting factors, which is essential for their coagulation function.
This document discusses various drugs that affect blood fluidity and the hemostatic system. It describes anticoagulants like heparin and warfarin that prevent blood clotting through different mechanisms. It also covers antiplatelet drugs like aspirin and clopidogrel that inhibit platelet aggregation. Thrombolytics like tissue plasminogen activator and streptokinase are discussed as agents that lyse blood clots. The causes and treatments of anemia are summarized, including iron deficiency and megaloblastic anemias related to vitamin B12 and folate deficiencies.
This document discusses various types of hemorrhagic diathesis including hemophilia, thrombocytopenia, hemoblastosis, and acute and chronic leukemia. It provides diagnostic criteria and treatment approaches for each condition. Hemophilia is described as a congenital bleeding disorder caused by a deficiency in coagulation factors. Thrombocytopenia involves a low platelet count and can cause bruising. Hemoblastosis refers to cancers of the blood system including acute and chronic forms of leukemia.
This document discusses various causes of hemorrhagic diathesis, or increased bleeding tendency. It describes vessel wall abnormalities that can cause less serious bleeding with normal coagulation tests. These include microbial damage, scurvy, drugs, and amyloid infiltration. Thrombocytopenia can also cause bleeding and can result from decreased platelet production or survival. Specific causes mentioned include immune thrombocytopenic purpura in children and adults. Thrombotic microangiopathies like thrombotic thrombocytopenic purpura and hemolytic uremic syndrome involve microthrombi formation and can lead to multiple organ failure.
Alteplase is a thrombolytic agent produced through recombinant DNA technology. It is used to treat heart attacks, pulmonary embolisms, and strokes by breaking up blood clots through the conversion of plasminogen to plasmin. The drug has a short half-life of 4-8 minutes and is administered via intravenous infusion over hours. Side effects include bleeding and hemorrhaging while drug interactions can increase the risk of bleeding when combined with other anticoagulants. Patients are counseled about monitoring for signs of bleeding after treatment.
This document discusses various bleeding disorders including:
- Definition as a disorder characterized by spontaneous or excessive bleeding following trauma.
- Etiologies including vessel wall abnormalities (congenital or acquired like vasculitis) and platelet functional disorders.
- Specific disorders discussed in more detail include von Willebrand disease, hemophilia, Bernard-Soulier syndrome, and Glanzmann's thrombasthenia.
- Clinical features, laboratory findings, and treatment approaches are provided for many of the disorders.
Hemorrhagic diathesis i (bleeding disorders)Bishal Chauhan
1. The document discusses common screening tests for bleeding disorders including bleeding time, platelet count, prothrombin time, and partial thromboplastin time.
2. It also lists and describes common bleeding disorders such as immune thrombocytopenic purpura, hemophilia A, hemophilia B, von Willebrand disease, and disseminated intravascular coagulation.
3. The pathogenesis, clinical features, and treatment of immune thrombocytopenic purpura are explained in detail, noting it is caused by autoantibodies destroying platelets and treated commonly with corticosteroids or splenectomy.
Pathology of Cardiomyopathies
Literally means “disease of the heart muscle”.
Term “cardiomyopathy” is used to describe heart disease resulting from an abnormality in the myocardium.
Diseases of the myocardium usually produce:
>abnormalities in cardiac wall thickness and chamber size.
>mechanical or electrical dysfunction
>associated with significant morbidity and mortality.
Thrombolytic agents work by converting plasminogens to plasmin, which breaks down blood clots. There are fibrin-specific agents like tPA that produce limited plasminogen conversion only in the presence of clots, and non-fibrin specific agents like streptokinase that cause systemic clot lysis. Common thrombolytic drugs include tPA, streptokinase, and reteplase. While these drugs can treat conditions like heart attacks and pulmonary embolism, they should not be used in cases of active bleeding, recent surgery, or severe uncontrolled hypertension due to the risk of hemorrhage.
Abnormal Types of Breathing, Hypoxia, Cyanosis, AsphyxiaUMAMAHISHAQ
This document discusses different types of breathing patterns and hypoxia. It describes Cheyne Stokes breathing as having alternating periods of hyperventilation and apnea with a gradual transition between periods. Biot breathing also has periods of hyperventilation and apnea but with an abrupt transition. Different causes of hypoxia are outlined including arterial hypoxia from low oxygen in air, anemic hypoxia from low hemoglobin, ischemic hypoxia from low blood flow, and histotoxic hypoxia from issues with tissue oxygen utilization.
The terms leukopenia and neutropenia are often used interchangeably. However, they refer to slightly different conditions. Leukopenia is an umbrella term that refers to a reducation in any of the white blood cell types.
Neutropenia is a type of leukopenia but refers specifically to a decrease in neutrophils, the most common type of white blood cell. A person’s neutrophil count is an important indicator of their infection risk.
This document defines anemia and describes its causes and symptoms. Anemia is a reduction in red blood cells or hemoglobin below normal levels. It can be classified based on red blood cell morphology or etiology. Common causes include blood loss, red blood cell destruction, nutritional deficiencies, and bone marrow disorders. Symptoms result from reduced oxygen carrying capacity and include fatigue, paleness, weakness, and increased heart rate. Severe anemia places greater workload on the heart and can lead to cardiac failure during exercise due to extreme tissue hypoxia.
A stroke occurs when blood flow to the brain is interrupted, depriving brain cells of oxygen. There are two main types of stroke: ischemic, caused by a blood clot blocking an artery, and hemorrhagic, caused by a ruptured blood vessel in the brain. Symptoms appear suddenly and may include paralysis, speech problems, and vision issues. Strokes are medical emergencies that require immediate diagnosis through scans and tests to identify the type and appropriate treatment, which may include clot-busting drugs or surgery. Rehabilitation is often needed and focuses on regaining abilities through therapies. Prevention emphasizes controlling risk factors like high blood pressure, diabetes, smoking, and high cholesterol through healthy lifestyle choices and medical management
This document discusses hypertensive diseases and their complications. It begins by outlining various hypertensive diseases that can affect the cerebrovascular system, eyes, heart and kidneys. It then defines hypertension and hypertensive emergencies/urgencies. The remainder of the document provides more details on specific hypertensive diseases and complications, including hypertensive encephalopathy, cerebrovascular accidents, retinopathy, left ventricular hypertrophy, coronary artery disease, cardiac arrhythmias, congestive heart failure, benign and malignant nephrosclerosis. It also discusses diagnostic criteria and management of various hypertensive conditions.
A stroke occurs when blood supply to the brain is interrupted, preventing brain tissue from receiving oxygen and nutrients. There are two main types of strokes - ischemic (caused by a clot) which accounts for 87% of cases, and hemorrhagic (caused by bleeding). Risk factors include hypertension, cardiac disease, diabetes, smoking, and age over 50. Diagnosis involves CT, MRI, or other brain imaging to determine the location and size of damage. Treatment focuses on reestablishing blood flow, preventing further damage, and rehabilitation services to improve functioning.
A stroke occurs when blood flow to the brain is disrupted, depriving brain cells of oxygen. There are two main types of stroke - one caused by a blockage cutting off blood flow, and one caused by bleeding within the brain. Symptoms depend on the affected brain region and may include loss of movement, speech, or vision. Risk factors include age, sex, race, diabetes, high blood pressure, prior strokes or mini-strokes, heart conditions, and lifestyle factors like smoking, diet, weight, and alcohol use. Making healthy choices can help reduce risks within one's control.
A stroke occurs when blood flow to the brain is disrupted, depriving brain cells of oxygen. There are two main types of stroke - one caused by a blockage cutting off blood flow, and one caused by bleeding in the brain. Symptoms depend on the affected brain region and may include weakness, vision issues, speech problems or headaches. Risk factors include age, sex, race, diabetes, prior stroke, high blood pressure, heart conditions, smoking and obesity. Controlling risk factors through lifestyle changes such as diet, exercise, not smoking and managing medical conditions can help prevent stroke.
1) Strokes occur when the blood supply to the brain is interrupted or reduced, causing brain cells to die. They are a medical emergency.
2) Approximately 800,000 people in the US have a stroke each year, making it the 5th leading cause of death. For black people, it is the 3rd leading cause.
3) Strokes can be ischemic, caused by blockages cutting off blood flow, or hemorrhagic, caused by bleeding in the brain. Risk factors include high blood pressure, smoking, obesity, and older age. Diagnosis involves scans, tests, and examining symptoms like paralysis and speech problems.
diagnosis and management of ischemic cerebrovascular disease by Ismail SurchiIsmail Surchi
This document discusses ischemic cerebrovascular disease and stroke. It defines stroke as the interruption of blood flow to the brain. The most common type of stroke is ischemic stroke, which is caused by blocked arteries due to atherosclerosis and blood clots. Symptoms of stroke depend on the affected brain region and may include weakness, numbness, vision issues, and speech problems. Diagnosis involves CT/MRI imaging, ECG, and blood tests. Treatment focuses on rapidly restoring blood flow through clot-busting drugs or surgery. Long-term care aims to recover function and prevent future strokes through rehabilitation and risk factor management.
This document summarizes information about yoga for cerebrovascular disease or stroke. It begins by defining stroke and its causes, then discusses the signs, symptoms, and modern medical treatments. It notes that yoga can help with stroke rehabilitation by improving flexibility, strength, and reducing stress. Specific yoga poses and practices are recommended for recovery from and prevention of stroke.
This document discusses the challenges in nursing care for patients experiencing a cerebrovascular accident (CVA) or stroke. It begins by defining a CVA as a sudden loss of brain function caused by disrupted blood flow to the brain. The document then covers the types, risk factors, clinical manifestations, investigations, and management of strokes. It emphasizes the nursing priorities of initial treatment to prevent further deterioration, ongoing risk assessment, and interventions to address impaired mobility, vital signs, nutrition, and more. The overall goal of nursing management is to control symptoms, prevent complications, and optimize recovery through a coordinated, multidisciplinary approach.
The document discusses strokes, also known as brain attacks, including defining strokes as inadequate blood flow to the brain, risk factors, types of strokes, pathophysiology, clinical manifestations, diagnostic studies, prevention, acute care, and rehabilitation care. Strokes are a leading cause of death and disability in the United States, with the most common type being ischemic strokes caused by blockages interrupting blood flow to the brain. Nursing management focuses on monitoring vital signs and neurological status, managing respiratory issues, skin integrity, swallowing difficulties, and providing supportive care.
This document provides an overview of cerebrovascular accident (CVA), also known as stroke. It begins with definitions of CVA and discusses the anatomy of blood supply to the brain. It then covers the epidemiology, causes, risk factors, types, pathophysiology, clinical features, diagnosis, management, complications, prognosis, and rehabilitation of CVA. CVA is caused by interrupted blood flow to the brain, depriving it of oxygen and nutrients. The main causes are ischemia (blockage of an artery) and hemorrhage (bleeding). Risk factors include hypertension, diabetes, smoking, and high cholesterol. Treatment involves restoring blood flow, preventing further complications, and long-term rehabilitation. Prognosis depends on
Brain stroke, also known as a cerebrovascular accident, occurs when blood flow to the brain is interrupted, depriving brain cells of oxygen. There are two main types of stroke: ischemic, caused by a blood clot blocking an artery, and hemorrhagic, caused by a ruptured blood vessel in the brain. Symptoms include numbness, confusion, vision problems, and headaches. Treatment focuses on clot-busting drugs, surgery, and rehabilitation therapies to minimize brain damage and support recovery. Lifestyle changes like controlling blood pressure, losing weight, quitting smoking, and regular exercise can help prevent stroke.
Stroke results from a disruption in blood flow to the brain. It is a leading cause of death and disability. Risk factors include hypertension, smoking, heart disease, diabetes, and older age. There are two main types - ischemic caused by blockage and hemorrhagic caused by bleeding. Treatment depends on the type but may include blood thinners, clot busters, or surgery. Physical therapy focuses on regaining mobility and function through exercises, gait training, and positioning. Prevention emphasizes controlling risk factors like blood pressure, cholesterol, diabetes, and lifestyle changes like quitting smoking.
This document provides an overview of syncope (fainting), including definitions, causes, diagnostic approaches, and management. The main points are:
1. Syncope is defined as a brief loss of consciousness due to reduced blood flow to the brain. It has many potential causes including cardiac arrhythmias, orthostatic hypotension, and vasovagal responses.
2. The diagnostic approach involves taking a medical history and conducting tests like an ECG, tilt table test, or Holter monitor depending on the situation.
3. Syncope has both cardiac and reflex causes. Cardiac causes are more serious and require prompt treatment, while reflex syncope often has identifiable triggers and presentations.
This document provides an overview of syncope (fainting), including definitions, causes, diagnostic approaches, and management. The main points are:
1. Syncope is defined as a brief loss of consciousness due to reduced blood flow to the brain. It has many potential causes including cardiac arrhythmias, orthostatic hypotension, vasovagal reactions, and structural heart issues.
2. The diagnostic approach involves taking a medical history, physical exam, ECG, and sometimes additional tests like tilt table testing, Holter monitoring, or insertable cardiac monitors.
3. The two broad categories of syncope are cardiogenic (heart-related) and reflex-mediated. Cardiogenic
This document discusses strokes, including definitions, types, risk factors, pathophysiology, clinical manifestations, diagnosis, and treatment. A stroke is defined as a neurological deficit lasting over 24 hours caused by a focal vascular issue. There are two main types: ischemic (caused by clot or embolism) and hemorrhagic (caused by bleeding). Risk factors include hypertension, atrial fibrillation, diabetes, and smoking. Treatment focuses on supporting vital functions, reversing damage with thrombolysis if given early, and rehabilitation.
1. The document discusses nervous system disorders including intracranial pressure, components of the brain, causes of increased ICP, signs and symptoms, investigations, and management of increased ICP including drug therapy and nursing care.
2. It also covers topics such as stroke, including types, signs and symptoms, diagnosis using FAST test, treatment including thrombolysis and antiplatelet/anticoagulant drugs, and nursing care to monitor patients and prevent complications.
3. Finally, it briefly discusses meningitis as an inflammation of the lining around the brain and spinal cord often caused by bacteria or viruses.
This document provides an overview of strokes, including:
1) Strokes are caused by an interruption of blood flow to the brain and are a leading cause of death and disability in the US.
2) The two main types of strokes are ischemic, caused by blockage of arteries, and hemorrhagic, caused by bleeding in the brain.
3) Warning signs of a stroke include sudden weakness, confusion, trouble speaking, and vision changes. Acting FAST (Face, Arms, Speech, Time) and calling 911 immediately can help reduce stroke damage.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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1. 41. Minor stroke (stroke with
restorative neurological deficit).
Etiology, pathogenesis. Clinic,
treatment.
By
Berin Mohamed Ashraf
group : 932e
2. What is a minor stroke?
- The term “minor stroke” is often used for stroke patients with mild
and non disabling symptoms. However, a consensus definition is
lacking.
- There is no standard definition used for a stroke that qualifies as
minor. A stroke was defined as minor in the National Institutes of
Neurological Diseases and Stroke IV recombinant tissue plasminogen
activator trials when the symptoms were believed at the discretion of
the local investigator to be mild and cause very minimal or no
disability.
- Most definitions used in prior studies of minor stroke did not include
the effect on the patient's ability to perform functional and cognitive
tasks.
3.
4. Etiology
- "mini stroke" is caused by a temporary disruption in the blood supply to part
of the brain.The disruption in blood supply results in a lack of oxygen to the
brain.
- This blockage is usually caused by a blood clot that's formed elsewhere in
your body and travelled to the blood vessels supplying the brain, although it
can also be caused by some others risk factors including:
- smoking , having diabetes.
- high blood pressure (hypertension).
- high cholesterol levels.
- regularly drinking an excessive amount of alcohol.
5. Clinical manifestations
- The symptoms associated with TIAs or minor strokes are the same as for
major strokes, but they may last only a few minutes.
They include any one or combination of the following:
- Sudden numbness or weakness in the face, arms, or legs, especially on one
side of the body
- Sudden trouble speaking or understanding
- Confusion
- Sudden vision problems in one or both eyes
- Dizziness, loss of balance, or sudden trouble walking
6. Treatment
Treatment for minor-stroke usually is medication to reduce blood clot risk,
and follow-up to consider surgery if the cause is an aneurysm that
occasionally slowly leaks blood.and also by reduction of other risk
factors.
Antiplatelet medicines (Aspirin )
- Antiplatelet medicines work by reducing the ability of platelets( blood
cells that help blood to clot) to stick together and form blood clots.
Anticoagulant medicines (Heparin or Warfarin)
- can help to prevent blood clots by changing the chemical composition of