ATLS

Question 1

What are the different classes of haemorrhagic shock?

Question 2

Stroke Types

What are features of Anterior Cerebral Stroke?

Answer 2

Contralateral motor/sensory loss (upper limb dominant) i.e. hemiparesis/hemisensory loss, Homonymous Heminopia, Higher Congitive dysfunction

Question 3

What are features of Middle Cerebral artery Stroke?

Answer 3

Contralateral motor/sesnory (face + upper limb dominant), eye deviates towards infarct, homonymous hemianopia, aphasia or neglect

Question 4

What are features of Posterior cerebral infarct?

Answer 4

• Vertebrobasilar arteries
• Presents with features of brainstem damage
• Ataxia, disorders of gaze and vision, cranial nerve lesions

Question 5

What are features of lateral medullary syndrome or posterior inferior cerebellar artery strokes (PICA)?

Answer 5

• Wallenberg’s syndrome
• Ipsilateral: ataxia, nystagmus, dysphagia, facial numbness, cranial nerve palsy
• Contralateral: limb sensory loss