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Y4R4 - Surgery II 👨‍⚕️ > L4: Stroke > Flashcards

L4: Stroke Flashcards

1
Q

Def of Stroke

A
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2
Q

Types of Stroke

A
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3
Q

TIA

A

If these signs is temporary “within 24 hours” it’s called Transient ischemic attack

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4
Q

Epidemeology of Stroke

A
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5
Q

Classification of Stroke

A
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6
Q

Pathology of Ischemic Stroke

A
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7
Q

Etiology of Ischemic Stroke

A
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8
Q

Etiology of Ischemic Stroke

  • Thrombotic Causes
A
  • Lacunar stroke.
  • Large vessel thrombosis.
  • Hypercoagulable disorders.
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9
Q

Etiology of Ischemic Stroke

  • Embolic Causes
A
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10
Q

Types of Hemorrhagic Stroke

A

1) Intracerebral hemorrhage (ICH).

2) Subarachnoid hemorrhage (SAH).

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11
Q

Etiology of ICH

A
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12
Q

Most common cause of ICH

A

Chronic HTN

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13
Q

Etiology of SAH

A
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14
Q

Etiology of SAH

  • Traumatic
A

Most Common Cause

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15
Q

Etiology of SAH

  • Spontaneous
A
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16
Q

Death by Aneurysm

A

10% die before reaching the hospital

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17
Q

Annual Rate of Aneurysm

A

10-30%

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18
Q

Age of Aneurysm

A
  • Peak age 55-6 y & 20% can occur in age 15-45 y.
  • Old age has a higher proportion with a severe neurological grade.
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19
Q

RF for Aneurysm

A
  • Hypertension.
  • Oral contraceptives.
  • pregnancy & parturition.
  • Substance abuse
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20
Q

Outcome of SAH

21
Q

Presentation of SAH

22
Q

Dx of SAH

23
Q

Best Initial test in SAH

A

CT Brain without contrast

24
Q

Digital Subtraction Angiography

25
Q

Managment of Hemorrhagic Stroke

26
Q

Managment of Hemorrhagic Stroke

  • introduction
27
Q

Managment of Hemorrhagic Stroke

  • Optimal managment
28
Q

Managment of Hemorrhagic Stroke

  • Managment Concerns
29
Q

Managment of Hemorrhagic Stroke

  • TTT of Vasospasm
30
Q

Managment of ICH

A
  • Acute
  • Surgical
31
Q

Managment of ICH

  • Acute Managment
32
Q

Managment of ICH

  • Surgical Managment
33
Q

SAH Managment

A
  • Initial
  • Definitive
34
Q

Managment of SAH

  • Initial Managment
35
Q

Initial Managment of SAH

  • Absolute Bed Rest
A

With 30 degrees head elevation.

36
Q

Initial Managment of SAH

  • Analgesia
A

Short-acting & reversible agent.

  • Pain is associated with a transient it in blood pressure & 11 risk of rebleeding.
37
Q

Initial Managment of SAH

  • Sedation
38
Q

Initial Managment of SAH

  • Neuro-Checks
39
Q

Initial Managment of SAH

  • Monitoring
A
  • Strict input & output.
  • BP & Oxygen saturation.
40
Q

Initial Managment of SAH

  • Intubation & ventilation
A

In Comatose patients.

41
Q

Initial Managment of SAH

  • Seizure prophylaxis
A

By phenytoin.

42
Q

Initial Managment of SAH

  • Stool Softeners
43
Q

Initial Managment of SAH

  • Neuroprotective
44
Q

Initial Managment of SAH

  • Triple H Therapy
45
Q

Definitive TTT of SAH

46
Q

Definitive TTT of SAH

  • Options
47
Q

Definitive TTT of SAH

  • Surgery
48
Q

Definitive TTT of SAH

  • Endovascular therapy

Y4R4 - Surgery II 👨‍⚕️ (32 decks)

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