1. Stroke and TIA Flashcards

1
Q

How common is it?

A

Very common - 100,000 per year

Decreasing incidence

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2
Q

Who does it affect?

A

M>F

Risk increases with age

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3
Q

What causes it?

A

Ischaemic (thrombus in situ, thrombus in large vessels, cardioembolic)
Haemorrhagic (Berry aneurysm, ICH)

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4
Q

What risk factors are there?

A
FH
>55 y/o
HTN
Diabetes
Smoking
Hyperlipidaemia
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5
Q

What signs may the patient have on examination?

A

Dysarthria
Facial paralysis
Abnormal neuro exam findings (reduced reflexes)
Cranial nerve palsies

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6
Q

How would you investigate?

A
CT head
FBC
ECG
Echo
Doppler USS
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7
Q

What treatments are there?

A

Aspirin 300mg initially
Thrombolysis
Manage bp / bleeding (vitamin K infusion)

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