dr confused Forum Senior
Topics: 67 Posts: 129
| | 08/31/07 - 04:06 AM  
 
|   #1 |
E?
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| Justice PGY-I, now officially

Topics: 120 Posts: 2,439
| | 08/31/07 - 07:37 AM  
 
|   #2 |
A E&D are not beneficial in these symptomatic Pr untill occlusion reaches 70%
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| Kamsi Forum Guru
Topics: 103 Posts: 347
| | 08/31/07 - 07:55 AM  
 
|   #3 |
Why not B anticoagulate with heparin
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| Ivonne Find a way or make one

Topics: 58 Posts: 1,658
| | 08/31/07 - 12:55 PM  
 
|   #4 |
A Regarding heparin remember "for every stroke prevented, one intracranial hemorrhage is caused"
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| dr in trouble Forum Guru

Topics: 62 Posts: 610
| | 08/31/07 - 09:52 PM  
 
|   #5 |
A--Aspirin
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| elitoki Forum Guru

Topics: 54 Posts: 508
| | 09/02/07 - 04:12 PM  
 
|   #6 |
Why A? I know this is pte has 30% obstruction of carotid artery but he is symptomatic, and that also is an indication for stent. Isn't it?
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| dr in trouble Forum Guru

Topics: 62 Posts: 610
| | 09/02/07 - 06:52 PM  
 
|   #7 |
This pt is not receiving any drug which can prevent thrombus formation. The next step shud be Aspirin which is effective for prevention of arterial thrombi.
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| dr_arc Forum Senior
Topics: 5 Posts: 156
| | 09/02/07 - 09:27 PM  
 
|   #8 |
next best step would be aspirin. but the best thing would be carotid endarterectomyy for a person who is symptomatic with a proven carotid artery stenosis.
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| kochs Forum Senior
Topics: 13 Posts: 141
| | 09/04/07 - 01:58 PM  
 
|   #9 |
MEDICAL THERAPY FIRST SO aspirin.
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| dermatology Forum Elite

Topics: 30 Posts: 297
| | 09/06/07 - 10:28 PM  
 
|   #10 |
A
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| SkiKidd Forum Newbie
Topics: 0 Posts: 21
| | 09/10/07 - 06:46 PM  
 
|   #11 |
You wouldn't ever do an endarterectomy for a pt with 30% stenosis just because he's having TIA symptoms. With 30% stenosis the symptoms are not coming from the carotid and you are just risking an interop stroke. It is more an indication that there is atherosclerotic disease elsewhere, like the circle of willis etc.
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| peraspera Forum Elite

Topics: 38 Posts: 233
| | 09/11/07 - 03:31 AM  
 
|   #12 |
Choose carotid endarterectomy over aspirin if the degree of carotid stenosis is>70% A
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