BASIC SYMPTOMS OF STROKE

Read and learn. Sometimes symptoms of a stroke are difficult to identify.
Unfortunately, lack of awareness spells disaster. Now doctors say a
bystander can recognize a stroke by asking 3 simple questions.

1. ask the individual to SMILE

2. ask him or her to RAISE BOTH ARMS 

3. ask the person to " SPEAK A SIMPLE SENTENCE" coherently i.e.: it is
sunny out today

If he or she has trouble with any of these tasks call Ambulance immediately
and describe the symptoms to the dispatcher.

A Cardiologist says if everyone makes few friends aware of above you can
bet that at least one life will be saved.

Investigations

The diagnosis can be confirmed by estimating the G6Pd activity of the red cell but this may not be entirely accurate if there is considerable reticulocytosis. A number of screening rests are usually present: haemoglobinaemia, methaemalbuminaemia, baemoglobinuria, ahaptoglobinaemia and later haemosiderinuria.

Mangement

This is by removal of the toxic agent. Recovery is usually rapid but if the anemia is severe, transfusion of red cells with a normal enzyme complement may be required. Thereafter, the patient should be advised to avoid drugs, which may precipitate the disorder. Splenectomy is without value.

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