Tuesday 4 May 2010

STROKE iMPORTANT POINTS

A.Intervention for acute stroke is
most potent when applied as
close to the time of stroke
onset as possible.
B. High-risk TIAs can be
predicted and should be
investigated and managed
with the same urgency as
acute stroke.
C. Differentiating between
infarction and haemorrhagic
stroke on clinical grounds is
poor, even among experienced
clinicians. Acute imaging
(usually by CT) is essential to
direct ongoing management.
D. Thrombolysis with tPA for
acute ischaemic stroke up to
4.5 hours from symptom onset
is now the standard level of
care in units which have
stroke management expertise.
E. Admission to a stroke unit for
all stroke subtypes increases
the chance of functional
outcome and decreases
disability.

TIA RISK ASSESSMENT : ABCD SCORE!

Risk Score
A Age >60 years 1 point
B Blood pressure >140/90 1 point
C Clinical unilateral weakness 2 points
Speech disturbance without weakness 1 point
Other 0 points
D Duration >60 min 2 points
10-60 min 1 point
<10 min 0 points D Diabetes 1 point 0-3 points = low risk
4-5 points = moderate risk
6-7 points = high risk
(Maximum score 7 points)

Monday 3 May 2010

HEALTH INSURANCE

NEVER DELAY A SINGLE DAY BEFORE YOU GET A HEALTH INSURANCE AND INCOME PROTECTION INSURANCE IF NOT LIFE INSURANCE WHEN YOU ARRIVE IN AUSTRALIA.THERE ARE MANY OPTION TO SELECT FROM.JUST ASK A COLLEGE THAT IS THE BEST WAY.DON'T GO BY ADVERTISEMENTS.AL THE BEST.

Sunday 2 May 2010

Acne Differential Diagnosis

Acne is a clinical diagnosis;
however, it is important to
consider the following differential
diagnoses:

• Rosacea.
• Perioral dermatitis.
• Acneiform drug eruption.
• Folliculitis on the trunk.

ACNE IMPORTANT POINTS.

ACNE IMPORTANT POINT IN HISTORY AND EXAMINATION.

History

• How long have you had
pimples for?
• Are there any triggers?
• Is there a family history?
• What treatments have you
had? How long did you
follow each treatment?
• What was the most
effective treatment? Why
did you stop it?
• How do you feel about
your skin? Does it stop
you from doing anything?

Examination

• Assess the severity and
whether there is any
scarring.
• Determine any
psychological impact.

Doctor life Australia

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