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69 Cards in this Set

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classification of hypertension:


Normal

<120/ <80

classification of hypertension:


Pre hypertension

120-139/80-89

classification of hypertension:


Stage 1

140-159/90-99

classification of hypertension:


Stage 2

=>160/=>100

Cholesterol count


LDL (bad)

< 100 mg/ dl

Cholesterol count


HDL (good)

> 60 mg/ dl

Cholesterol count


Total cholesterol

< 200 mg/ dl

Classification of obesity (BMI)


Underweight

<18.5 kg/m2

Classification of obesity (BMI)


Normal

18.5-24.9 kg/m2

Classification of obesity (BMI)


Overweight

25-29.9 kg/m2

Classification of obesity (BMI)


Stage 1

30-34.9 kg/m2

Classification of obesity (BMI)


Stage 2

35-39.9 kg/m2

Classification of obesity (BMI)


Stage 3

=> 40 kg/m2

Restricted or interrupted blood and oxygen supply to the brain

Ischemic stroke

80% of stroke

Ischemic attack

20% of stroke

Hemorrhagic stroke

Three types of Ischemic stroke:

Thrombotic


embolic


Lacunar

40% of the Ischemic stroke:

Thrombotic

20% of Ischemic stroke:

Embolic

20% of Ischemic stroke:

Lacunar

What's the most common etiology of ischemic stroke

Thrombotic stroke

Bleeding into brain

hemorrhagic stroke

Due to rupture of a blood vessel or abnormal vascular structure in the brain

hemorrhagic stroke

2 types of hemorrhagic stroke:

intracerebral hemorrhage


Subarachnoid hemorrhage

15% of the hemorrhagic stroke

intracerebral hemorrhage

5% of hemorrhagic stroke

Subarachnoid hemorrhage

Thrombotic stroke AKA

Large vessel thrombosis

Formation or development of a blood clot within the cerebral arteries or their branches

Thrombotic stroke

Major contributing factor would be atherosclerosis

Thrombotic stroke

Atherosclerotic plaque formation with accumulation of lipids (fats), fibrins, complex carbohydrates and calcium deposits that leads to narrowing of the blood vessels

atherosclerosis

Progressive narrowing of the blood vessel

atherosclerosis

Common sites for thrombotic stroke

Vba (vertebrobasilar artery )


mca (middle cerebral artery)


cca (common carotid artery)

Gradual onset of ischemic stroke

thrombotic stroke

Night attack

thrombotic stroke

Relaxation decreased blood flow with presence of thrombosis -> aggravates

Night attack

Second most common ischemic stroke

Embolic stroke

cerebral embolus are traveling bits of matter formed elsewhere that are released into the bloodstream and travel to the cerebral arteries where they lodge in a vessel, producing occlusion and infarction

Embolic stroke

With the most common source of cerebral and Willis is disease of cardiovascular system

Embolic stroke

With the most common source of cerebral and Willis is disease of

cardiovascular system

Abrupt onset of ischemic stroke

Embolic stroke

3rd most common is ischemic troke

Lacunar stroke

Lacunar stroke aka

Small vessel thrombosis

Causes small circumcised lesion at most 1.5 cm in diameter

Lacunar stroke

seen mainly at deep penetrating branches of large blood vessel

Lacunar stroke

Common sites of lacunar stroke

Basal ganglia 1


cerebellum 3


pons (aica)


internal capsule 1&2


thalamus 4

BCPIT

Arteries involved in lacunar stroke

Lenticulostriate nucleus (mca)


Recurrent artery of heubner (aca)


sca, pica, aica


pca

Intracerebral hemorrhage aka

Hypertensive hemorrhage

Causes of intracerebral hemorrhage

Chronic hypertension (ruptured aneurysm)/ long-duration hypertension


trauma


tumor


vasculitis


charcot bouchard aneurysm


Pseudoaneurysm

MC causes of intracerebral hemorrhage

Chronic hypertension

May cause microaneurysm (common in congenital defects)

Chronic hypertension (ruptured aneurysm)/ long-duration hypertension

Microaneurysm that develop in vessels of hypertensive patients

charcot bouchard aneurysm

Microaneurysm aka

Pseudoaneurysm

Common sites for intracerebral hemorrhage

Putamen


Pons


subcortical white matter


thalamus


cerebellum

MC site for intracerebral hemorrhage

Putamen

PaPoSTaaCo

Least common site for intracerebral hemorrhage

cerebellum

Dilation of the vessel secondary to smooth muscle defect

Aneurysm

Caused by rupture of a cerebral vessel with subsequent bleeding into the brain

Intracerebral hemorrhage

Commonly occurs in small blood vessel weakened by atherosclerosis

Intracerebral hemorrhage

Producing an aneurysm called charcot bouchard aneurysm -> chronic hypertension

Intracerebral hemorrhage

Occurs from bleeding into SAS typically saccular aneurysm or arteriovenous malformation affecting primary the large blood vessel

Subarachnoid hemorrhage

Gradual collection of blood in subarachnoid space

Subarachnoid hemorrhage

Result of blood vessel damage from chronic hypertension, vascular malformation or the use of medication (anticoagulant, thrombolytics and antiplatelet agents)

Subarachnoid hemorrhage

Most common cause of hemorrhagic stroke

Ruptured aneurysm

Saccular aneurysm aka

Berry aneurysm

Develops from congenital defect which causes ballooning or out pouching the vessel wall up to 10 mm in diameter

Saccular aneurysm

Chief complaint: worst headache in my life

Saccular aneurysm

Common sites of Saccular aneurysm

Anterior communicating artery


internal carotid artery


MCA

AIM

Congenital defect with tangled tortous web of arteries and veins with agenesis of interposing capillary system bypassing capillaries

Arteriovenous malformation (AVM)

Arteriovenous malformation (AVM) triad

Hemorrhage


seizure


migraine

HSM