Definitions and mechanism (3 compo) Flashcards

1
Q

what is hemorrhagic stroke

A

bleeding of the brain, weak broken blood vessels, blood accumulates and compresses the surrounding brain tissue

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2
Q

types of haemorrhagic stroke (2)

A

intracerebral (ICH) - bleeding in the cerebral cortex/within the brain tissue

subarachnoid (SAH) - bleeding into the sub arachnoid space

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3
Q

which type of stoke has the highest mortality rate

A

ischemic stroke

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4
Q

% of hamorrhagic and ischemic

A

15%; 85%

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5
Q

stroke management

A

stabilize vitals (BP, breathing, heart function, swallowing)

CT scan - location, type of stroke, Dx

blood thinner/ anti-platelet meds (aspirin) for ischemic

cranial surgery to remove piece of skull bone to allow blood, reduce pressure; to clip the point of rupture

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6
Q

define hemiplegia

A

partial weakness in the one side of the body, more severe than hemiparasis (complete weakness)

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7
Q

why does stroke affect one side of the body?

A

one side of the brain controls the opposite side of the body at medulla/brain stem

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8
Q

what is low tone

A

muscle weakness, floppy muscle.

afferent input:
increased threshold of spindle activation
reduced spindle activity level/sensitivity

efferent input:
disruption of the motor sensor of the brain, info can’t get down to the targeted muscle

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9
Q

is high or low tone more diasbiling?

A

low

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10
Q

which side of the brain control language and speech? what area its called?

A

L; broca’s motor speech area (frontal), wenickes speech centre (temporal)

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11
Q

frontal lobe functions

A

voluntary mvmt
broca’s area

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12
Q

temporal lobe functions

A

hearing and memory (hippocampus)
wernickes speech centre (understanding)

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13
Q

broca vs wernickes

A

the actually talking vs understanding (meaningless word)

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14
Q

parietal lobe function

A

sensory (pressure, touch, temp, pain, proprioception, spatial awareness)

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15
Q

occipital lobe function

A

vision

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16
Q

how much CO goes to brain? how much O2 ?

A

15%
25%

17
Q

Physio neuro management

A

Posture (lying, sitting, standing, getting in and out of bed/chair)
Balance. Gait. Stairs. Led with stronger leg up, weaker leg down
Transfer - type of support, # of assistance
What’s important to the pt - help them achieve that
E.g. play with grandkids - squatting, crutching = hip, knee, trunk flexion, ankle DF
Family members? Role in the family? Carer?
GP/pharmacist: meds prescription review, cholesterol (statin), blood sugar level, BP
OT - stress, home/work set-up modification, ergonomics, handrail at home, education on use of walking aids
Is work supportive? Can take time off/ WFH? Financial problem?
Social worker: physical/social/emotional support. Connect pt to activity groups.

18
Q

Neuro: medical management

A

CT head scan
Monitor vitals - HR, BB, SpO2, BP
Carotid Doppler - ultra sound scan on neck to check for clots/thrombus/circulation
Bloods (cholesterol, diabetes/blood sugar)
ECG, feeding tube, chest x-ray
AVERT after stroke

19
Q

Infarct medical management

A

Thrombectomy
Thrombolysis
Carotid endarterectomy
Meds: aspirin, anti-platelets (blood thinner), anti-coagulant therapy, BP, statin

20
Q

Haemorrhage medical management

A

Surgery: craniotomy
Med: decrease BP, reverse effects of blood thinners

21
Q

Aneurysm medical management

A

Surgery: clipping/coiling

22
Q

Purpose of AROM

A

Test the function of the joint
Ability to do functional activities
Willingness to move
Movement that cause pain
To build an exercise program
Strength (at least against gravity)
Co-ordination

23
Q

Csp myotome

A

C1 flexion
C2 extension
C3 side flexion
C4 elevation
C5 shoulder ABD
C6 elbow FLEX
C7 elbow EXT
C8 thumb ext
T1 finger ADD/ABD

24
Q

LSP myotome

A

S1 PF
L2 hip flex
L3 knee ext
L4 DF
L5 toe ext
S2 knee flex

25
Q

Reflex upper limb

A

Biceps C5-6
Triceps C7

26
Q

Reflex lower limb nerve roots

A

Ankle PF: S1-2
Patella jerk/ knee EXT: L3-4

27
Q

Little things to remember in general

A

Tie up hair
Bare below elbow
Introduce
Consent
Wash hands
Bed heights
Skin expose
Eyes closed for sensation + dermatome

28
Q
A