Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
20 Cards in this Set
- Front
- Back
|
What should you think when you see ACUTE onset of neurological symptoms?
|
Stroke
|
|
|
Hemorrhagic strokes usually cause _____.
|
pain
|
|
|
What are some risk factors for large artery atherosclerosis/thrombosis?
|
smoking, CAD, elevated lipids, male, PAD
|
|
|
Where is the most common location of embolic deposition?
|
MCA
|
|
|
What is the most common origin of emboli?
|
heart -- valve problems, artificial valve, cardiac infarct
|
|
|
What are some signs of CORTICAL stroke?
|
aphasia and neglect
|
|
|
Signs of a DEEP NUCLEAR stroke?
|
hemiparesis
|
|
|
Contralateral motor or sensory deficit. Arms more effected than legs. Aphasia if on dominant side. Neglect if not on dominant side. Eyes deviated toward side of stroke and away from hemiplegic side.
|
MCA stroke syndrome
|
|
|
Contralateral motor and sensory deficit with legs more affected than arms and face. Loss of drive (abulia), akinetic mutism, personality changes.
|
ACA stroke syndrome
|
|
|
Contralateral hemianopsia w/ macular sparing. Thalmic pain syndromes.
|
PCA stroke
|
|
|
Risk factor for lacunar strokes.
|
HTN and diabetes and polycythemia
|
|
|
Mechanism of lacunar stroke.
|
lipohyalinotic occlusion
|
|
|
Area around ischemic area that you are trying to salvage
|
penumbra
|
|
|
Main risk of using tPA.
|
Hemorrhage
|
|
|
____ can masquerade as a stroke.
|
Hypoglycemia
|
|
|
____ patients are high risk of hemorrhage.
|
Hyperglycemic
|
|
|
Only FDA approved therapy for stroke
|
Alteplase/Activase (tPA)
|
|
|
Aneurysms are commonly seen where?
|
at bifurcations in the anterior circulation
|
|
|
SAH presents as?
|
sudden very bad headache
|
|
|
What is the gold standard for diagnosing an aneurysm?
|
catheter angiography
|
