I have a 7.5 bi-lateral anterior cerebral artery aneurysm. The Dr. sent me back to work and test later?

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I have another one that 6.4mm and my work is heavy and fast paced and he said there was a 50/50 chance of it rupturing. Shouldn`t I have been hospitalized and tested right away? I had a concussion from being hit on the head at work and kept getting sicker over 2 mo. period. On tues. last wk I had a severe headache was pale, weak and sick at my stomach, sore neck and back and black cicrle under eyes since accident.and sleepy alot. Dr. said this has nothing to do with the aneurysm. Should I get a second opponion?
First of all I will say that no matter what it is your body, and if you are uncomfortable with the prospect of going back to work then by all means you should get a second, third or fourth opinion if that is what it takes. That being said, I would hope that the doctor you are referencing was a neurosurgeon! I would not trust a decision like this to a family doctor or even a regular ER doc. I would request a neurosurgery consult and face to face discussion with them! Hope this helps!  (+ info)

What Does TOPROL Do For Acute Myocardial Infarction And Congestive Heart Failure?

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FATHER HAS DIAGNOSIS ABOVE AND IS HAVING EPISODES OF VOMITING, DIZZINESS AND SLURRING WORD. HE HAS AN EXTENSIVE HISTORY OF HEART DISEASE. TRIPLE BYPASS AT 60, 2 HEART ATTACKS AT 70 EMT'S BROUGHT HIM BACK TWICE THEN HAD ANGIOPLASTY FOLLOWED BY A 99.9% BLOCKED COROTID ARTERY?
Toprol is a beta-blocker. (there are different receptors and binding of molecules causes different effects--binding at the beta receptors increases the heart rate and eventually the blood pressure) It controls the heart rate and also decreases the blood pressure. Controlling the heart rate during a heart attack is important because it decreases the amount of oxygen that the heart needs and during a heart attack, there is less oxygen available in the first place. If your father has just begun to have these symptoms recently, it sounds like he should go to the emergency department. there may be something seriously wrong--slurred words may be a sign of stroke, or they could all be signs of a heart attack with decreased blood flow to the brain.  (+ info)

Can pressing on a vein or artery cause a problem?

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I've been taking my pulse right in between my collar bones. Apparently this is right in the middle of the subclavian veins but probably some of my pressure is put on these veins. I've taken my pulse many times this way today (light to medium pressure) the area is a little tender now but I never felt pain while I was going it.


Can this cause a clot or dissection or anything of that sort?
Nope, unless you really dig into it you more than likely won't cause serious damage. The area may be tender because your skin is slightly bruised, there is most likely nothing wrong with your veins or arteries.  (+ info)

What would be your diagnosis for water build up and numbness in the feet of an overweight middle-aged male?

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PS. He went to the doctor and was checked for diabetes. His glucose levels, cholesteral, liver enzyme levels, and blood pressure were excellent. He also had a scan of all his upper body arteries and there were no blockages.
Poor circulation and water gain and weight
Most likely needs some water pills to eliminate water get some exercises and walk more and if on feet alot sit more elevate feet at home to help bring swelling down  (+ info)

Writing a vampire book, 1; what side of neck is carotid artery?, 2; can you bleed out from a cut there? Help!?

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I'm in the middle of writing a vampire book (not the usual kind), but need a little medical information. I'm stuck right now, and really need the answers! First; on what side of the neck is the carotid artery. Second; would a person bleed to death from a severe cut to it. Third; would the jugular vein be better? And if so, where is it located. Also, if you can provide links with good drawings of the carotid artery, and jugular vein, it would be appreciated. This is a serious inquiry for a book that I really am writing, and I would appreciate serious replies. And soon as I am stuck on just where the girl in my story should get bit. Please help! Thanks in advance. :)
THE CAROTID ARTERY IS ON BOTH SIDES OF THE NECK  (+ info)

My Dad has a blood clot smack in the middle of his pulmonary?

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artery and he has had it for 12 days before being seen by a Doctor, he is extremely stubborn and refused to go to the ER, being that he weighs 350# the doctors dont want to do any surgeries or procedures thinking he end up with a stroke or other complications, so they are going to send him home with Coumadin and major pain meds d/t severe pain, does this mean he will be a ticking time bomb. the doctors say he cantt get any worse and the clot isnt going any where and in fact they said it is already in the worse spot that it could be in.. What is the prognosis of this and is he pretty much a ticking time bomb, Thanks for any input! the pain is d/t ischemia from the blood clot laying where it is.
Actually, medical therapy with Coumadin is pretty much the standard of care when patients present with a pulmonary embolus; additional surgeries or procedures are usually not needed, whether your father is obese or not. Basically, if you can prevent the clot from progressing, the body's natural systems will usually dissolve it over time. There are occasional cases in which more powerful clot-dissolving medicines are given, usually if the patient's heart is having trouble pumping against the increased load caused by the clot. That's not without risk, though - typically a stroke risk of around 1%. There *is* a surgery to remove pulmonary emboli - but it's a very high risk surgery not performed in many places, and it would essentially never be considered without a trial of medical therapy first, unless the patient is dying in front of you.

The only additional procedure that *might* be considered is a filter placed in the IVC (large vein returning blood from the lower half of the body), especially if there's still visible clot in the legs or pelvic veins on ultrasound. That has risks, too, though - and clots can actually form on the *filter* after a while. Nobody really knows which is the right patient in whom to put in a filter, though. In most cases, in most places, the initial therapy would be with Coumadin alone, continued for 6-12 months, unless there's right heart failure or recurrent pulmonary embolism.

The prognosis is hard to quantify without more information - specifically, how sick he is, how well his heart is pumping, how big the clot is, whether he has other medical conditions, etc.  (+ info)

What is the difference between infarction and gangrene?

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The morphology of both is the same,that is,ischemic necrosis.I know gangrene involves putrefaction which infarction does not.Then,why is repair by fibrosis possible only in infarction,but not in gangrene?What are the exact definitions of infarction and gangrene?Please differentiate them clearly.
Infarction- (1) engorgement or stoppage of a vessel. (2) development or presence of an infarct (a localized area of ischemic necrosis produced by occlusion of the arterial supply or venous drainage of the part.)
Cardiac infarction- myocardial infarction.
cerebral infarction- an ischemic condition of the brain, causing a persistent focal neurological deficit in the area affected.
intestinal infarction- occlusion of an artery or arteriole in the wall of the intestine, resulting in the formation of an area of coagulation necrosis.
myocardial infarction- formation of an infarct in the heart muscle, due to interruption of the blood supply to the area.
pulmonary infarction- infiltration of an airless area of lung with blood cells, due to obstruction of the pulmonary artery by an embolus or thrombus.

gangrene- death of the tissue in considerable mass, usually associated with loss of vascular (nutritive) supply and followed by bacterial invasion and putrefaction.  (+ info)

What is cerebral thrombosis?

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On my grandfather's death certificate, it says he died from cerebral thrombosis and in parenthesis next to it it says vertebral artery. Does this mean he had a stroke?
I am so sorry for your loss.

Cerebral thrombosis is when a blood clot forms in an artery that supplies the brain. When the artery is major and the blood clot is large enough to block the blood flow, tissue death results. This is called a stroke. In layman's terms, your grandfather died of a massive stroke.

The vertebral artery supplies the brainstem and the back of the brain. Your grandfather's blood clot was found in the vertebral artery. Any problem with the brainstem is life threatening.  (+ info)

How bid does a brain aneurysm have to be before they opperate on it?

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I just found out this week that I have a 3 MM Aneurysm involving the M1 segment of the right middle cerebral artery. Does anyone know anyone that has had anything like it? Any info on it? My mri came back, im just waiting on the ct results and not i would just like some input.
Location is the one of the most important risk parameters (along with age, general health, and neurological condition). M1 is a fairly common location and there are certainly worse locations to have an aneurysm. Open surgery is not the only way to treat aneurysms. Many aneurysms can be successfully treated with a catheter that delivers a device to fill or wall off the aneurysm. This is called endovascular treatment. Not all aneurysms can be treated this way but when they can, patients generally recuperate much faster and have less risk of surgical complications. I would go a top neurovascular treatment center (such as UCLA). There are many throughout the country but most are in major metropolitan areas. The key thing is to get evaluated by a very experience interventional neuroradiologist (INR) and a neurosurgeon. I would start with the INR as they treat aneurysms in a less invasive and less damaging way (endovascular) as opposed to the neurosurgeon that does open surgery on the brain through a hole made in the skull. However, for some aneurysm cases, neurosurgery may be the best or only option. Best wishes to you.
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How fast does nitroglycerin act when used to treat a myocardial infarction, i.e. when given in tablet form?

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I have been trying to find information online about the speed and efficacy of nitroglycerin in tablet form when used to treat a myocardial infarction. It's for a short story I am writing, and I can't finish until I find this information. I don't want to just make something up.
Nitroglycerin doens't actually do anything to treat a myocardial infarction. It is best for angina- the squeezing pain people get in their chest when the blood vessels around their heart are constricted but not completely closed. For angina, it works in seconds to relieve the pain and relax those blood vessels so the heart gets more blood.
During a heart attack, the coronary vessels close completely, and blood flow to part of the heart is cut off. A person who takes nitroglycerin for angina should worry that they are having a heart attack if they take nitroglycerine and the pain does not go away. They should take an aspirin immediately and go to the ER to be given other meds or have a stent put in to open the artery back up.  (+ info)

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