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18 Cards in this Set

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