User login
 |  |
| FIGURE 1 | FIGURE 2 |
The MRI (FIGURE 1) revealed an ischemic infarct in the left middle cerebral artery. Cerebral vascular accidents affect about 700,000 people every year in the United States. Ischemic (66%) and hemorrhagic (10%) strokes account for most strokes. Prevalence of stroke and mortality are higher in blacks than in whites.
The 30-day mortality rate after a first stroke is 22%. Risk factors for stroke include hypertension, cigarette smoking, type 2 diabetes, and atrial fibrillation.
A stroke response team evaluated this patient and determined that he was a candidate for tissue plasminogen activator. After the stroke, he was treated with aspirin, antihypertensives, and cholesterol-lowering medication. A noncontrast CT scan of the patient 2 weeks later is shown in FIGURE 2. He recovered 80% of his neurological deficit over the next 3 months.
Images courtesy of Chen MYM, Pope TL, Ott DJ. Text for Photo Rounds Friday courtesy of Richard P. Usatine, MD. This case was adapted from: Chumley H. Cerebral vascular accident. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. The Color Atlas of Family Medicine. New York, NY: McGraw-Hill; 2009:968-971.
To learn more about The Color Atlas of Family Medicine, see:
• http://www.amazon.com/Color-Atlas-Family-Medicine/dp/0071474641
You can now get The Color Atlas of Family Medicine as an app for mobile devices including the iPhone and iPad by clicking this link:
| |
| FIGURE 1 | FIGURE 2 |
The MRI (FIGURE 1) revealed an ischemic infarct in the left middle cerebral artery. Cerebral vascular accidents affect about 700,000 people every year in the United States. Ischemic (66%) and hemorrhagic (10%) strokes account for most strokes. Prevalence of stroke and mortality are higher in blacks than in whites.
The 30-day mortality rate after a first stroke is 22%. Risk factors for stroke include hypertension, cigarette smoking, type 2 diabetes, and atrial fibrillation.
A stroke response team evaluated this patient and determined that he was a candidate for tissue plasminogen activator. After the stroke, he was treated with aspirin, antihypertensives, and cholesterol-lowering medication. A noncontrast CT scan of the patient 2 weeks later is shown in FIGURE 2. He recovered 80% of his neurological deficit over the next 3 months.
Images courtesy of Chen MYM, Pope TL, Ott DJ. Text for Photo Rounds Friday courtesy of Richard P. Usatine, MD. This case was adapted from: Chumley H. Cerebral vascular accident. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. The Color Atlas of Family Medicine. New York, NY: McGraw-Hill; 2009:968-971.
To learn more about The Color Atlas of Family Medicine, see:
• http://www.amazon.com/Color-Atlas-Family-Medicine/dp/0071474641
You can now get The Color Atlas of Family Medicine as an app for mobile devices including the iPhone and iPad by clicking this link:
| |
| FIGURE 1 | FIGURE 2 |
The MRI (FIGURE 1) revealed an ischemic infarct in the left middle cerebral artery. Cerebral vascular accidents affect about 700,000 people every year in the United States. Ischemic (66%) and hemorrhagic (10%) strokes account for most strokes. Prevalence of stroke and mortality are higher in blacks than in whites.
The 30-day mortality rate after a first stroke is 22%. Risk factors for stroke include hypertension, cigarette smoking, type 2 diabetes, and atrial fibrillation.
A stroke response team evaluated this patient and determined that he was a candidate for tissue plasminogen activator. After the stroke, he was treated with aspirin, antihypertensives, and cholesterol-lowering medication. A noncontrast CT scan of the patient 2 weeks later is shown in FIGURE 2. He recovered 80% of his neurological deficit over the next 3 months.
Images courtesy of Chen MYM, Pope TL, Ott DJ. Text for Photo Rounds Friday courtesy of Richard P. Usatine, MD. This case was adapted from: Chumley H. Cerebral vascular accident. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. The Color Atlas of Family Medicine. New York, NY: McGraw-Hill; 2009:968-971.
To learn more about The Color Atlas of Family Medicine, see:
• http://www.amazon.com/Color-Atlas-Family-Medicine/dp/0071474641
You can now get The Color Atlas of Family Medicine as an app for mobile devices including the iPhone and iPad by clicking this link: