HEMIPLEGIA - Clinical case presentation

#ComprehensiveClinicalClass
Hemiplegia Clinical case presentation by Ms.Rekha, 4th year MBBS, BGSGIMS, Bengaluru.
Mentor:
Dr. Archith Boloor,
Additional Professor,
KMC, Mangalore.
PPT:-
drive.google.com/file/d/1OnhG...
Time stamps:
01:00 History
01:17:00 Physical Examination
01:31:13 Higher mental function Examination
01:32:25 Cranial Merves Examination
01:41:15 Diagnosis
01:43:53 Management
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Пікірлер: 102

  • @drasifpatel1716
    @drasifpatel17162 жыл бұрын

    Easy way to remember: Life of PAI(plasminogen Activator Inhibitor) begins in the morning! Cause of increased thrombotic strokes/MI in the early morning hours

  • @asamvav
    @asamvav2 жыл бұрын

    I liked Dr. Baloor's way of questioning and calmness in explaining. Very good for an examinee. Good presentation from the student's end.

  • @sakshikumari7349

    @sakshikumari7349

    10 ай бұрын

    What is the dofference in progression of hemorrhagic and thrombotic stroke?

  • @littlecharlie3899

    @littlecharlie3899

    6 ай бұрын

    ​@@sakshikumari7349The difference is time of occurance..progession almost looks similar.. Also can be differentiated on symptoms headache, vomiting in hemorrhagic stroke is classical

  • @tawfiqahmad8082
    @tawfiqahmad80823 ай бұрын

    Before watching the video completely, i want to take a minute to appreciate Ms. Rekha. You are you going to be a great doctor. You almost answered every question. I am soo happy for you.

  • @parthkulkarni8309
    @parthkulkarni83093 жыл бұрын

    Mam almost answered all questions…. 😱😱😱

  • @krisshhnaa5074

    @krisshhnaa5074

    2 жыл бұрын

    😱😱😱

  • @dryash866

    @dryash866

    2 жыл бұрын

    That's bcoz she already heard sir's class

  • @tejasolanki5999

    @tejasolanki5999

    Жыл бұрын

    @@dryash866 which class??

  • @medinindia885

    @medinindia885

    Жыл бұрын

    Namaste sadguru 😁

  • @natarajumididoddi5985
    @natarajumididoddi59858 ай бұрын

    It is a very good clinical case presentation and discussion. I am a family practitioner, (practising)76y.I appreciate the student' presentation .I learnt a lot about hemiplegia, how to diagnose ischemic haemorrhagic and embolic strokes. I wish I were your student. Thanks

  • @moinalijanvekar9391
    @moinalijanvekar9391 Жыл бұрын

    Salute to the girl she is very knowledgeable

  • @tarunjha3257
    @tarunjha32576 күн бұрын

    Hands down the best case presentation i watched ever in my life

  • @meenakshi6344
    @meenakshi63442 жыл бұрын

    Very useful. Plus Ms Rekha did brilliantly.

  • @nsas955
    @nsas955 Жыл бұрын

    Really an amazing and fruitful presentation . I admire the way of presenting the case as well as the questions and discussions. God bless you both.

  • @___s___8071
    @___s___80716 ай бұрын

    1:12:11 stroke mimics SOL Migraine Meningitis Hypo/Hyperglycemia Todd's paralysis

  • @gajananrepal3847
    @gajananrepal38472 жыл бұрын

    Thank you so much Archit sir .....very comprehensive

  • @satyamp6202
    @satyamp6202 Жыл бұрын

    Thank you so much entire team, great efforts 🙏🙏🙏🙏, thank you so much sir for your valuable time....

  • @drsiddharthsoniphysician
    @drsiddharthsoniphysician Жыл бұрын

    Mesmerising presentation and very insightful and indepth discussion by Bolloor sir who is a gifted teacher. Voice of presenter is very clear and soothing type. @

  • @dr.hitendrakumar9338

    @dr.hitendrakumar9338

    9 ай бұрын

    Yes boss 👌

  • @manojk6531
    @manojk653110 ай бұрын

    Early morning presentation of thrombotic stroke is due to Cortisol rise in body which cause vasoconstriction leading to Stroke is what a professor in my college had said

  • @anandtiwari52
    @anandtiwari52 Жыл бұрын

    Admin, succeeded in maintaining the communication.......good quality audio and video this time, weldone Sir.

  • @ijaziqbal1539
    @ijaziqbal1539 Жыл бұрын

    great teacher ..... teaching from heart....... best source for clinical exam prepration ....... true name of teacher

  • @AshokKumar-bm4bp
    @AshokKumar-bm4bp3 жыл бұрын

    Thank you very much archit sir 🙏

  • @akv41av
    @akv41av3 жыл бұрын

    Nice presentation n discussion 👍

  • @___s___8071
    @___s___80716 ай бұрын

    1:07:43 CADASIL is Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy

  • @nadeem3rashid
    @nadeem3rashid2 жыл бұрын

    Wow ! Very Well presneted for a UG 👌🏼

  • @itsgabriel2691
    @itsgabriel26912 жыл бұрын

    Doing a great job sir 🙏🙏🙏 keep posting S Help a lot of solving doubts Nice discussion sir ma'am give aprrox all the answer

  • @narasimha7870
    @narasimha78702 жыл бұрын

    Why UMN lesions have distal muscle weakness first any logic? Because if UMN supplying proximal muscle involved ,then patient will have only proximal muscle weakness…..

  • @breezeofease6373
    @breezeofease63732 жыл бұрын

    sir pls bring the case presentation over parkinsonism with archit baloor sir ... the way he explain helped me a lot while my case presentation 💓💓💓

  • @rizvyrahman3837
    @rizvyrahman38373 жыл бұрын

    Thanks❤... Archit sir is as always great

  • @mohitzambare830
    @mohitzambare830 Жыл бұрын

    Can someone explain the planter response why is it like that?

  • @sakshikishen3750
    @sakshikishen3750 Жыл бұрын

    Great discussion!

  • @arpanuppal0007
    @arpanuppal00072 жыл бұрын

    Such an amazing discussion ❤️

  • @nishithmohapatra7206
    @nishithmohapatra7206 Жыл бұрын

    Why posterior limb of internal capsule stroke localization

  • @sachinkambar.9816
    @sachinkambar.9816 Жыл бұрын

    How sensory components intact if internal capsule involved

  • @anandtiwari52
    @anandtiwari52 Жыл бұрын

    Discussion has been thorough and so very valuable.

  • @mdmillatreza9501
    @mdmillatreza95017 ай бұрын

    Amazing discussion

  • @mr.x1363
    @mr.x13633 жыл бұрын

    V nice 👍

  • @ruhinaresh7410
    @ruhinaresh74102 жыл бұрын

    Very useful 👍

  • @sanjujohn6383
    @sanjujohn63833 жыл бұрын

    Very good

  • @narasimha7870
    @narasimha78702 жыл бұрын

    Mechanism of fever in venous strokes and why fever doesn’t happen in arterial stroke??

  • @GauravPawar-vl7jb

    @GauravPawar-vl7jb

    8 ай бұрын

    No deliveryof inflammatory mediators in case of arterial stroke

  • @tube442
    @tube4425 ай бұрын

    She doesn't look like undergraduate

  • @wmaperera
    @wmaperera2 жыл бұрын

    Well done sir...thanks u..

  • @DrChainSingh
    @DrChainSingh2 жыл бұрын

    Thank you sir

  • @Pint4Life
    @Pint4LifeАй бұрын

    Really amazing case presentation

  • @SB-uc8ph
    @SB-uc8ph4 ай бұрын

    Beautiful🎉❤

  • @pranavlokeshgp83
    @pranavlokeshgp832 жыл бұрын

    Really good! Gonna prepare for my case based on this 👍🏽

  • @sayanthvishnusubramanian8893

    @sayanthvishnusubramanian8893

    2 жыл бұрын

    😅

  • @asfiyafakiha
    @asfiyafakiha6 ай бұрын

    Thankyou sir. 😊

  • @medicalknowledge7950
    @medicalknowledge7950 Жыл бұрын

    Sir,can u make subtitles available for this vedio ? I have some hearing problem

  • @rahullinton
    @rahullinton6 ай бұрын

    So much helpful sir❤❤❤❤

  • @mahimabhojwani2908
    @mahimabhojwani29087 ай бұрын

    Is it left side or right side umnl at 1:35:05

  • @natarajumididoddi5985
    @natarajumididoddi5985Ай бұрын

    Sir in my experience I witnessed in icu (I work as a duty doctor now as well) a few traumatic SAH.

  • @sakshikumari7349
    @sakshikumari734910 ай бұрын

    What is the difference in progression of thrombotic & hemorhagic stroke? Can it be differentiated clinically?

  • @littlecharlie3899

    @littlecharlie3899

    6 ай бұрын

    Both have almost same progression.. But vary in time of occurance.. Symptom wise hemorrhagic will be have raised ict with Heachache, vomiting

  • @ahmadgumman3390
    @ahmadgumman33906 ай бұрын

    LMN FACIAL PALSY WILL GIVE YOU IPSILATERAL PALSY??

  • @GauravPawar-vl7jb
    @GauravPawar-vl7jb8 ай бұрын

    Umn type of facial nerve palsy

  • @BharathKumar-we3ng
    @BharathKumar-we3ng Жыл бұрын

    Omg is it undergraduate student who presented

  • @romanchitupadhyaya3738
    @romanchitupadhyaya3738 Жыл бұрын

    Can we have a case presentation like this on paraplegia also sir regarding the approach and all 🙏

  • @THEWHITEARMY

    @THEWHITEARMY

    10 ай бұрын

    we already have many a discussion videos on paraplegia..kindly check

  • @kalyanirathod8683
    @kalyanirathod86832 жыл бұрын

    👏👏

  • @kirankumarch9954
    @kirankumarch99547 ай бұрын

    I want pdf of this video

  • @Drstrange12233
    @Drstrange122332 жыл бұрын

    Sir provisional diagnosis i think it is left sided umn facial palsy as on examination we have loss of nasolabial folds on right side so contralateral will be left facial palsy

  • @AravindRavi

    @AravindRavi

    Жыл бұрын

    i also made the same confusion during my models. if the patient has loss of nasolabial fold on the right side and deviation of angle of mouth to the left. then we call it right sided facial palsy only but the lesion is on the left side (if its an UMN) . its quite tricky but we have to be careful while answering

  • @ayushmanmukherjee9297
    @ayushmanmukherjee92978 ай бұрын

    Here, the history of deviation of angle of mouth as taken, will be right sided and not left sided.... M i right?

  • @GauravPawar-vl7jb
    @GauravPawar-vl7jb8 ай бұрын

    In umn distal weakness start first eg in fingers

  • @Dr.GAURAV45
    @Dr.GAURAV45 Жыл бұрын

    Internal capsule involved, so why hemiparesis and not hemiplegia?

  • @GauravPawar-vl7jb

    @GauravPawar-vl7jb

    8 ай бұрын

    Don't say hemiplegia until zero power

  • @dr.vigneshwar5747
    @dr.vigneshwar5747 Жыл бұрын

    👌

  • @blessedslave
    @blessedslave Жыл бұрын

    What's going on around 27 min. Sir is completely opposing the student. she says ipsi he says contra.

  • @momnahmed4175

    @momnahmed4175

    Жыл бұрын

    I was confused too regarding this, I think he meant the side to which the mouth deviates, not the side of the weakness of the facial muscles. There is a video by Ninja Nerd, I found it helpful. I hope It helps you too. The title of the video is (( Neurology | Descending Tracts: Corticobulbar Tract ))

  • @AravindRavi

    @AravindRavi

    Жыл бұрын

    @@momnahmed4175 yeah exactly he was talking about the side of deviation of the angle and not the weakness per say. i also got confused.

  • @sumanthprabhu9319
    @sumanthprabhu931911 ай бұрын

    Shouldn’t the taste sensation in the anterior 2/3rd on the right half of the tongue be lost?

  • @lavanyakumhar8021
    @lavanyakumhar8021 Жыл бұрын

    How is this hemiplegia but not hemiparesis

  • @tarunjha3257
    @tarunjha32576 күн бұрын

    Kuddos to the presenter calm cool and super intelligent

  • @ViratKohli-yi1xr
    @ViratKohli-yi1xr Жыл бұрын

    Do we have to know everything like here ?

  • @shashwatchaurasia9030
    @shashwatchaurasia9030 Жыл бұрын

    Hello medicos, Does anyone have notes regarding this video discussion?

  • @nekoprogressive1504

    @nekoprogressive1504

    Жыл бұрын

    b$d₹ khud toh kuch mehnat karle sub dusro se hi bheek manenga kya,itna accha padhaya hai sir ne,kuch kadar kar M©️

  • @dancewithamaskmask7230

    @dancewithamaskmask7230

    Жыл бұрын

    Did you get notes . I also would like to get them

  • @jeetdattani5535

    @jeetdattani5535

    9 ай бұрын

    @@dancewithamaskmask7230 ? Did you got notes?

  • @SachinUppin2605
    @SachinUppin26052 жыл бұрын

    🙏🙏tqsm

  • @adarshpal4907
    @adarshpal49072 жыл бұрын

    Kadak,🤗🤗

  • @krisshhnaa5074

    @krisshhnaa5074

    2 жыл бұрын

    Don’t be like layman man…

  • @shashankgowda2208

    @shashankgowda2208

    2 жыл бұрын

    Using India language in no way makes u layman .. knowledge is imp

  • @prantikdas9974
    @prantikdas99742 жыл бұрын

    Woww 🔥

  • @drvijayfromkem6934
    @drvijayfromkem69342 жыл бұрын

    Thank you to all

  • @pramodgowdar9760
    @pramodgowdar97603 жыл бұрын

    Ms Rekha answered everything but lill anatomical basics and surface anatomy she needs to know ... Thats it

  • @imperialalike1536
    @imperialalike1536 Жыл бұрын

    Mangalore 🔥

  • @kishanvishwamitra7727
    @kishanvishwamitra7727 Жыл бұрын

    Chassignac tubercle

  • @k.charitachowdary1130
    @k.charitachowdary113010 ай бұрын

    1:26 speech

  • @bhuwansubedi4556
    @bhuwansubedi45563 жыл бұрын

    Menstrual history missing

  • @GauravPawar-vl7jb

    @GauravPawar-vl7jb

    8 ай бұрын

    Kya karna hai vo leke

  • @wafaa8555
    @wafaa85553 ай бұрын

    😊

  • @goodvibesnerd3228
    @goodvibesnerd32282 жыл бұрын

    What makes blood more coagulable at early morning?

  • @aryav1145

    @aryav1145

    2 жыл бұрын

    Plaminogen activator inhibitor level is more in early morning

  • @drasifpatel1716

    @drasifpatel1716

    2 жыл бұрын

    Easy way to remember: Life of PAI begins in the morning!

  • @docchethanr
    @docchethanr9 ай бұрын

    1:07:38

  • @skjrahaman9391
    @skjrahaman93916 ай бұрын

    Moya moye disease 1:08:15

  • @061jasminerahmanm67

    @061jasminerahmanm67

    3 ай бұрын

    😂

  • @kevinslivemusic1020
    @kevinslivemusic1020 Жыл бұрын

    Thank you sir