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Neuro > Headaches/Stroke > Flashcards

Headaches/Stroke Flashcards

1
Q

benign headaches are?

A

tension, cluster, migraine

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2
Q

bilateral band, most common, stressed, tired

A

tension

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3
Q

tension tx is?

A

NSAID, Sumatriptan

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4
Q

Unilateral with scintillations, scatomata, aura, photophobia, pulsatile, trigeminal nerve, internal carotid

A

migraine - Sumatriptan

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5
Q

Eyes, same side, lacrimation, miosis, ptosis is, worse with Etoh?

A

cluster

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6
Q

Cluster ha tx is?

A

100 o2

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7
Q

Cluster headache sxs

A

males 40s

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8
Q

Bad causes of HA are?

A

Cerebral infarct, thrombus, meningitis

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9
Q

cervical disection sxs

A

rip, stroke sxs

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10
Q

CO toxicity sxs

A

headache with indoor cooking

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11
Q

cerebral infact sxs?

A

ataxia

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12
Q

ruptured aneurysm, AV leaks causes?

A

SAH ->HTN

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13
Q

SAH sxs?

A

SUDDEN, MAXIMAL HA, thunder

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14
Q

SAH diag?

A

CT then LP (xanthochromia)

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15
Q

SAH TX?

A

Surgical clip, control pain, BP, Seizure.

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16
Q

Stoke, what is FAST

A

facial droop, arm weak, speech dif, time: call

17
Q

Stroke Diag?

A

CT

18
Q

Tx of hemorrhagic stroke?

A

ABC, mannitol, hyperventilate, craniotomy

19
Q

LP can be done under what vertebrae?

A

L2

20
Q

TIA has sxs in what time frame?

A

24 transient sxs

21
Q

dizzy, diplodia, dysarthria, dysphagia, dysmetria are due to a?

A

Posterior circulation

22
Q

TIA FAST sxs are?

A

facial droop, arm weak, speech dif, time: call

Homunculus and vascular supply

23
Q

DIAG a TIA?

A

ABCD2; Age>60, BP>140/90, clinical poor speech, 10-60 mins sxs, sxs last over an hour.

24
Q

Ischemic stroke is what color on a CT?

A

black - dead

25
Q

Hemorrhagic stroke is what color on a CT?

A

white - blood

26
Q

HA is more associated with

A

hemorrhagic

27
Q

Anterior cerebral stroke sxs

A

Right leg weakness = left anterior cerebral

28
Q

Posterior cerebral stroke sxs

A

quick, visual changes

29
Q

Middle cerebral stroke sxs

A

contralateral Arm weakness (right are = left middle cerebral)

30
Q

stroke tx is first?

A

ABC, tPA.
Medical = mannitol, hyperventilate (vasoconstrict)
Surgical = ventriculostomy, craniotomy

31
Q

Ischemic stroke tx?

A

ABC, FIBRINOLYSIS, mannital, hyperventilate (vasoconstrict)

32
Q

complications of hospitalized stroke patients?

A

DVT, UTI, PE

33
Q

posterior circulation stroke (vertebrae basilar circulation) supple?

A

brainstem and cerebellum.

34
Q

If one side of the face and contralateral body vertigo, diplopia, dysarthia, ataxia where is the stroke?

A

posterior circulation stroke

Neuro (10 decks)

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