An 85-year-old patient was brought to the ER, BP: 180/100, right hemiparesis was seen. What is the next best step in management?
Reduce BP
NCCT
MRI
Aspirin 300mg and anticoagulants
As given clinical features point towards stroke, doing NCCT is the next best step to confirm diagnosis & do appropriate management. If CT Scan shows: Hypodense lesion, point towards Acute ischemic stroke- Hyperdense lesion, point towards Hemorrhagic stroke Causes: Embolic stroke > cerebral thrombosis Causes: Hypeension, trauma, warfarin toxicity, cerebral amyloid angiopathy etc - DOC - Reteplase - Window period < 4.5 hr of symptom onset Brain angiography- window period 4.5-6hr Osmotherapy Ventriculostomy | (If fails) Hemicraniectomy Decompressive For hypeension crisis, Nicardipine/labetalol is used.
FMGE 2019