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18 Cards in this Set
- Front
- Back
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__ represents a sudden neurological deficit due to a disturbance of the CNS blood supply.
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stroke
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The underlying pathologies are usually hemorrhage or __.
-thrombus -emboli -thromboemboli |
thromboemboli
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The incidence is 0.2% of the population per year rising to _% of people over age 75.
1% 2% 5% |
1%
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is the onset of the deficit usually sudden or insiduous?
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sudden
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the deficit is usually __ to the area of the brain supplied by a specific blood vessel.
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corresponds
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if the deficit resolves completely within 24 hours it is termed a ??
-CVA -lacunar stroke -TIA |
tia
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what is the cardinal feature of a stroke?
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sudden onset of neurological deficit
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a CVA is a (reversible/irreversible) deficit >24 hours.
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irreversible
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what are some common dx/dx of stroke?
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meningitis
encephalitis toxic confusional state encephalopathy space-occupying lesion |
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what do you use to determine the level of consciousness of your patient?
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GCS
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what index do you use to determine disability?
-stork's index -Lapoun's index -barthel index |
Barthel index
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other than LOC, what else must be evaluated other than ABC's?
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BP
P any signs of raised ICP |
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if a pt has had any recent falls or head trauma what should you be looking for?
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subdural or extradural hematoma
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what other recent neuro defects?
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tia's
amaurosis fugax |
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what are pertinent vascular diseases to know about if a pt. is presenting with CVA symptoms?
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carotid stenosis
coronary athrosclerosis PVD |
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what are possible embolic reasons for a stroke?
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a fib
prosthetic valves carotid stenosis carotid or vertebral dissection |
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what other general medical areas are of good information?
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smoking
HtN hypercholestolemia |
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any abnormal muscle tone may be normal or reduced early on following a stroke producing an __ lesion, but usually tone subsequently increases abnormally.
-UMN -LMN |
umn
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