EVC Flashcards

1
Q

mayoria de EVC son

A

isquemicos

80%

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2
Q

DETERIORO DE EVC HEMORRAGICO ES SUBITO!!!!!!!

A

IMPORTANTE

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3
Q

traumatismo, buscamos

A

EVC hemorragico

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4
Q

factores de riesgo

A
  • habitos dieteticos
  • > 60 años
  • HIPERTENSIÓN
  • sobrepeso/obesidad
  • hiperlipidemia
  • fumar
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5
Q

oclusion por embolo

fisiopatologia

A
  • cardiogenico (principal FR es la fibrilacion atrial)
  • arteria-arteria (placa ateroesclerotica en carotida!!!)
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6
Q

fisiopatologia

A
  • oclusion por embolo
  • trombos in SITU
  • hipoperfusion
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7
Q

hipoperfusion extracraneal

A

carótida interna

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8
Q

A. cerebral anterior

A
  • lobulo frontal
  • paralisis MI
  • deficit motor contralateral
  • deficit sensitivo contralateral
  • marcha apráxica
  • En las primeras hrs no se ve nada, pasan de 6-8 hrs
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9
Q

A. cerebral media

A
  • casi todo el mesencefalo
  • Afasia
  • Déficit motor contralateral
  • Déficit sensitivo contralateral
  • Hemianopsia homónima
  • Ignora
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10
Q

A. cerebral posterior

A
  • occipital y TALLO CEREBRAL
  • Alexia
  • Coreoatetosis
  • Parálisis III par
  • Déficit motor
  • Déficit sensitivo
  • Trastornos visuales
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11
Q

triada de Virchow

A

daño endotelial + estasis venosa + hipercoagulabilidad

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12
Q

cual es el factor de la triada de virchow que se puede prevenir

A

estasis venosa, con medias de compresion y movilizacion

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13
Q

se elimina un componente de la triada de virchow para

A

evitar que haya trombos

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14
Q

tx de apoyo

A
  • evitar hipoxia
  • manejo via aerea y ventilatorio
  • prevenir TVP
  • antipireticos
  • evitar hiperglucemia

TVP: trombosis venosa profunda

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15
Q

tx farmacologico

A

cuando es isquemico
indicacion de TPA
- Dx clinico de EVC
- inicio de sintomas al tiempo de administracion
- TAC NO muestra hemorragia ni edema
- > 18 años
- NO ESTAR EN TX ANTICOAGULANTE
- consentimiento
- TA persistente > 180/100 mmHg

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16
Q

manifestaciones clinicas

A
  • PICA: nauseas y vomito
  • hemiparesia contralateral (Signo Sentinela), nos habla que algo esta en el putamen dando lata
17
Q

triada mortal en trauma

A

ascidosis
hipovolemia
hipotermia