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31 Cards in this Set
- Front
- Back
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ICH is ___th most common kind of stroke
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2nd
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ICH is ___th deadliest of stroke
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1st
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classic signs of ICH
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H/A
vomiting |
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___ is main prognostic factor for ICH
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volume of hematoma
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2 recommended diagnostic studies for ICH
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non-contrast CT
angiography |
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2 contraindications for angio for ICH
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age > 45 with HTN
located in thalamus/putamen/posterior fossa |
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tx for ICH (2)
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rFVIIa
surgery |
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7 RFs for ICH
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age
maleness african-american previous CVA EtOH sympathomimetic drugs liver failure |
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8 causes of lobar ICH
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amyloid angiopathy
trauma extension of deep hemorrhage hemorrhagic transformation of ischemic infarct tumor vascular malformation aneurysm rupture |
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MCC of lobar ICH
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amyloid angiopathy
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2 most common sites for ICH
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basal ganglia
internal capsule |
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2 kinds of hemorrhagic transformation
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diffuse/multifocal
unifocal |
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diffuse hemorrhagic transformation is aka ___
it is ___dense compared to primary ICH it appears as ___ on CT |
type 1
hypo mottling inside borders of original CVA |
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unifocal hemorrhagic transformation is aka ___
it is ___dense compared to primary ICH it appears as ___ on CT |
type 2
iso extensive hematoma, possibly exceeding original borders |
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4 kinds of ICH causes
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increased MAP
increased CBF vascular defects coagulopathy |
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3 causes of increased MAP
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HTN
venous thrombosis sympathomimetic drugs |
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5 causes of increased CBF
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carotid endarterectomy
AVM repair heart defect repair hemorrhagic transformation of ischemic infarct migraine |
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4 kinds of vascular defects
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malformations
vasculopathy tumor infection |
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3 kinds of malformation
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AVM
aneurysm venous angioma |
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2 kinds of aneurysm causing ICH
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berry aneurysms
Charcot-Bouchard aneurysms |
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berry aneurysms causing ICH can be located either ___ or ___
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at circle of Willis
distally (e.g. MCA) |
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4 kinds of vasculopathy
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amyloid angiopathy
fibrinoid necrosis lipohyalinosis cerebral arteritis |
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3 infections causing ICH via arterial mechanical defect
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fungi
granuloma HSV encephalitis |
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suspect cerebral amyloid angiopathy (CAA) if patient presents with ___
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recurrent lobar ICH
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imaging for CAA
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gradient echo MRI
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top 3 kinds of tumors causing ICH
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GBM
Ly mets |
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4 mets causing ICH
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melanoma
chorioca RCC brochogenic ca |
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ICH has insidious/acute presentation
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insidious
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most common single location for ICH
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putamen
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putaminal ICH presents with ___
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contralateral hemiparesis
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T/F: putaminal ICH often has no H/A
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true
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