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15 Cards in this Set
- Front
- Back
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Define stroke
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Rapidly developing episode of focal or global neuro dysfunction lasting >24hrs or leading to death and of presumed vascular origin
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Difference between TIA and stroke?
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TIA lasts <24hours
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Name as many risk factors for stroke as you can
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Hypertension
Smoking Diabetes Heart disease PVD Hyperlipidaemia Alcohol Clotting abnormalities AF |
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Which blood tests would you order?
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U&Es
Ca FBC Clotting LFT Glucose (hypo?) ESR/CRP (encephalitis/abscess?) TFT Lipids |
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3 other particularly important Ix before imaging?
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ECG
Urine Culture |
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Name 2 causes of ischaemic infarction
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Thrombosis
Embolus |
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Name 3 causes of haemorrhagic stroke
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Aneurysm rupture
Hypertension Trauma |
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What is the name of the classification of stroke infarcts? (POCS etc)
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Bamford Classification
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3 sns of TACS?
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New higher cerebral dysfunction
Homonymous hemianopia Contralateral hemiplegia |
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Name 3 antithrombotics used in Rx of acute stroke (having confirmed it is ischaemic)
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Dipyridamole
Aspirin Clopidogrel |
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What does each letter in the ABCD rule (7 day stroke risk for TIA) stand for?
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A-Age
B-BP C-Clinical factors (unilatel weakness/speech) Duration (>60mins/10-60mins) |
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If ABCD < 4, is there likely to be a stroke in 7 days?
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No
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What complications may occur after a stroke?
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Infections
Venous thrombosis Pressure sores Joint contractures Psychological-depression, anxiety Falls/fractures Shoulder pain |
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What is dysarthria
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Motor disturbance of speach-patients know what they want to say but can't get words out due to muscle weakness
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What % of stroke patients have initial dysphagia?
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30-50%
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