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18 Cards in this Set
- Front
- Back
- Contra Paralysis and numbness
- Monocular blindness - lang. disturbance - visual disturbance |
Carotid (Ant) Ciruculation Stroke
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- Contra paralysis and numbness affecting the LEG!
- impairment of voluntary bladder control |
ACA stroke
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- Contra paralysis and sensory loss that SPARES THE LEG!
- Broca Aphasia (dominant) |
Sup. MCA stroke
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- Contra homonymous hemianopia
- Graphesthesis & Stereognosis - Neglect of contra side - anosognosia - Wernicke aphasia (dominant) - R/L confusion (non-dominant) |
Inf. MCA stroke
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- vertigo
- ataxia - diplopia - contra paralysis and numbness - dysarthria |
Verebro-Basilar (Post) Stroke
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- Contra homonymous hemianopia w/ MACULAR SPARING
- cortical blindness - memory impairment - prosopagnosia - CN 3 palsy - alexia (can't understand written words) w/o agraphia |
PCA stroke
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- Impaired consciousness
- CN 3 palsy - Hemi or Quadriplegia w/ decerebrate or decorticate posture - locked in syndrome |
Top of Basilar A. Stroke
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Medical Risk Factors for Stroke
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(LAD CAT H)
lipids, a-fib, diabetes, coronary artery disease, asymp. carotid disease, TIA, hypertension |
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BP of patient is elevated
Pt has a history of hypertension |
Intracerebral Hemorrhagic Stroke
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Pt. presents with the "worst headache of their life."
They are vomiting, confused, and have neck rigidity |
Subarachnoid hemorrhage
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Lacunar Stroke
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Small vessel stroke effecting IC, pons, basala ganglia, thalmus, corona radiate
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Atherothrombosis
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plaque ruptures off a vessel and travels to brain to cause an infarction
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TIA
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neuro disfunction w/symptoms lasting LESS THAN 1 HOUR and no evidence of infarction on MRI
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NIH stroke scale
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(FALSE LED CAVE)
Facial palsy, ataxia, language, Sensation, extraoccular mvmts, leg drift, dysarthria, consciousness, arm drift, visual fields, extinction |
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Acute Management of stroke
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Thrombolysis,
Mechanical Clot manipulation Cytoprotective Agents Plt Inhibitor Drugs |
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Carotid Endarterectomy (CEA)
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removes plaques in Carotid Artery when stenosis becomes severe and symptomatic
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Quick Stroke Assessment in hospital
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FAST
Face weakness Arm weakness w/ drift Speech slurring Time (TPA IV w/in 3-4 hr) |
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Behavioral risk factors for stroke
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smoking
alcohol lack of physical activity diet obesity |