The Most Inaccurate Medical Diagnosis Must Watch

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The Most Inaccurate Medical Diagnosis Must Watch

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[The Most Inaccurate Medical Diagnosis Must Watch]

Diagnosis Game

What is The Diagnosis Game

Try To Guess What The Diagnosis Is?

Imagine You wake up and can’t speak! But you can walk around with no problems!

flickering lights, reduced visual acuity

Expressive Dysphasia?

What do you think?

Suddenly you can’t speak, ……
Maybe you suggest left cerebral hemisphere stroke) MRI showed large irregular area in the frontal lobe, (tumor in the head was ruled out) (thrombotic stroke…. maybe?).

Enlarged lymph nodes……

they are not unusual.

Or are they?

The Hospital
Professional Medical Team
Discharged you following a Neurological Review ……
Neurological Review Reports T.I.A’s

Or is it really TIA (Transient Ischemic Attack)?????

Echocardiogram was given – showed normal left ventricular function with no valvular abnormalities.

Carotoid Dopplers shows no hemodynamic significant stenosis bilaterally.

MRI of head showed a large area of abnormal increased signal in the deep matter of the left parietal lobe extending into the posterior left frontal lobe with increased signal on the diffusion weighted sequences, consistent with a large subacute ischemic event in the left MCA territory where the left MCA was grossly patent.

Ultrasound of the neck shows: Small lymph nodes in the jugular chain bilaterally, the largest measuring 16 X 24 mm adjacent to the thyroid, and there is some hyperemia within these nodes, representing possibly an inflammatory infectious process but no other abnormalties.

Discharged on Asprin 81 mg once daily as well as Lipitor 80 mg once daily and Coversyl 8 mg once daily.

Recommendation was to go to the aphasia clinic and patient discharged.

(2 MRI’s and 2 CT Scans of the brain)

Patient to learn to speak again and read again was the suggestion!

Cholesterol is at 3.95, triglycerides 0.69, HDL 1.12 and LDL 2.53.

No other lesions or mass lesion identified. Posterior fossa is clear. Findings consistent with a large subacute left MCA infrarct.

WHAT DO YOU THINK?

Then one month later another repeat symptom of stroke (your speaking is way worse now).

The brain doctor – looked in the brain and this time determined bleeding into patients previous infarct bed in the left brain.

Is it further T.I.As and stroke?

WHAT DO YOU THINK?

Admitted to The Emergency Hospital with intensifying stroke symptoms causing further impairments.

WHAT DO YOU THINK is The Diagnosis?

Hemorrahage into a previous ischemic infarct.

The small hemorrhage on this admission could have been due to Asprin. Some patients have a condition called congophilic amyloid angiopathy affecting smaller arteries of the brain and which can lead to hemorrhage.

Equally in some people with ischemic stroke the infarcted brain may undergo hemorrhagic transformation as the blood in the formerly clogged artery finds a new channel.

Following diagnosed with left central retinal artery occlusion (CRAO). – This means patient
went partially blind.

Then another stroke, this one causing a left homonymous hemianopia. Now Blind in Both EYES!

Then suffered a left leg DVT. – this means the patient had a blood clot in the leg.

Guess what
happened
next?

2 CT Scans and 2 MRI’s?

What do you think is the diagnosis?

Patient gets blood thinners.

Which kind of blood thinners?

Fragment blood thinners – in
the stomach.

SO NOW WITH BLOOD THINNERS THE PATIENT CAN’T OPERATE – OR THEY WILL DIE ON THE OPERATING TABLE – cause of using blood thinners.

A hypercoagulable state.

WHAT IS THE Diagnosis?

WHERE?

WHERE IS THE PRIMARY SOURCE OF THE PROBLEM?

Biopsy was completed?
WHERE DO YOU THINK?

STILL WONDERING WHERE THE PRIMARY SOURCE WAS?

Published with permission on Source: L Y B I O . N E T

The cancer was discovered 4 months after the first, second and third stroke with a chest xray that was not included in any part of the the stroke assessment by neurology.

Lung cancer. (with no symptoms of chest pain.)

Cancer that caused the blood to thicken and display stroke-like symptoms but it was cancer all along – not the stroke (not from eating fatty foods or arteries that are old)
——————
You know how this ends

paraneoplastic syndrome cancer lungs – that presented as STROKE-
LIKE SYMPTOMS But NEVER was strokes it was from CANCER!

Blood clots and more blood clots

Until a Lung blood clot

A pulmonary embolism (PE) is a blood clot that has traveled to the lung from another place in the body. A PE can be life-threatening. Blood clots are common in patients with cancer.

no chest pain until the last final
days

Strokes can be Cancer Building up in your body.

Help make others aware of this,

Link between cancer and stroke

Save lives and help improve patient
care

Stroke May Be A sign Of Systemic
Malignancy

Stroke syndrome secondary to hypercoagulability of lung cancer or somewhere in your body!

paraneoplastic neurological syndromes

If you know someone who has had a stroke…….. check other parts of the body too.

MAKE SURE YOU HAVE AN evidence-based assessment of the initial evaluation!

Lung cancer / pancreas or cancer
anywhere, unfortunately, is usually
recognized late in its natural history.

DON’T LET THE CANCER GROW WHILE YOU ARE HAVING STROKES!

IF YOU HAVE A STROKE IN YOUR BRAIN WHY NOT CHECK YOUR LOWER PART OF YOUR BODY!

EVEN YOUR LUNGS, PANCREAS ETC.

HAVE A CHEST XRAY or check your lower part of your body if you have a stroke in the head.

SAVE YOURSELF!

STROKE CAN BE THE SIGN OF CANCER BUILDING UP IN YOUR BODY!

TAKE CARE

Published with permission on Source: L Y B I O . N E T

The Most Inaccurate Medical Diagnosis Must Watch

The Most Inaccurate Medical Diagnosis Must Watch

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