acute neuro Flashcards
ACA stroke?
behavioural changes
contralateral leg > arms
MCA
contralateral hemiparesis
FACe/arms > LL
apraxia
aphasia
if a stroke results in expressive aphasia what artery is impacted?
expressive aphasia is broca area
MCA
PCA stroke
homonymous hemianopia
visual agnosia
posterior circulation stroke
damage in brainstem
signs
how can you distinguish from cerebral artery?
DANISH dysdiadochokinesia ataxia nystagmus intention tremor slurred speech hypotonia
IPSILATERAL
investigations?
non contrast ct head serum glucose u&E cardiac enzymes fbc anaemia ECG
what type of CT does investigating a stroke require?
non contrast
further investigations / management for a stroke
ct angiogram
carotid doppler
management of stroke?
non-af
aspirin 75mg 2 weeks
lifelong clopidogrel 75mg
af
warfarin
subarchnoid haemorrhage
risk fcator?
polycystic kidney disease
GB syndrome gastroenteritis is what organism most likely?
campylobacter jejuni
signs and symptoms
hypotonio flaccid paralysis fasciculations progresses acutely ASCENDING PARASTHESIA
what is the worse complications of GB syndrome
respiratory distress - so monitor w spirometry
investigations - gb syndrome
nerve conduction study
lumbar puncture
protein
glucose
treatment for Guillain Barre syndrome ?
IV Immunoglobulin
