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Surgery II - OSCE > L4: Stroke > Flashcards

L4: Stroke Flashcards

1
Q
A
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2
Q

Def of Stroke

A
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3
Q

Types of Stroke

A
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4
Q

TIA

A

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

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5
Q

Classification of Stroke

A
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6
Q

Types of Hemorrhagic Stroke

A

1) Intracerebral hemorrhage (ICH).

2) Subarachnoid hemorrhage (SAH).

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7
Q

Etiology of ICH

A
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8
Q

Most common cause of ICH

A

Chronic HTN

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9
Q

Etiology of SAH

A
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10
Q

Etiology of SAH

  • Traumatic
A

Most Common Cause

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11
Q

Etiology of SAH

  • Spontaneous
A
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12
Q

Death by Aneurysm

A

10% die before reaching the hospital

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13
Q

Annual Rate of Aneurysm

A

10-30%

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14
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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15
Q

RF for Aneurysm

A
  • Hypertension.
  • Oral contraceptives.
  • pregnancy & parturition.
  • Substance abuse
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16
Q

Outcome of SAH

A
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17
Q

Presentation of SAH

A
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18
Q

Dx of SAH

A
19
Q

Best Initial test in SAH

A

CT Brain without contrast

20
Q

Digital Subtraction Angiography

A
21
Q

Managment of Hemorrhagic Stroke

A
22
Q

Managment of Hemorrhagic Stroke

  • introduction
A
23
Q

Managment of Hemorrhagic Stroke

  • Optimal managment
A
24
Q

Managment of Hemorrhagic Stroke

  • Managment Concerns
A
25
Q

Managment of Hemorrhagic Stroke

  • TTT of Vasospasm
A
26
Q

Managment of ICH

A
  • Acute
  • Surgical
27
Q

Managment of ICH

  • Acute Managment
A
28
Q

Managment of ICH

  • Surgical Managment
A
29
Q

SAH Managment

A
  • Initial
  • Definitive
30
Q

Managment of SAH

  • Initial Managment
A
31
Q

Initial Managment of SAH

  • Absolute Bed Rest
A

With 30 degrees head elevation.

32
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.
33
Q

Initial Managment of SAH

  • Sedation
A
34
Q

Initial Managment of SAH

  • Neuro-Checks
A

Hourly

35
Q

Initial Managment of SAH

  • Monitoring
A
  • Strict input & output.
  • BP & Oxygen saturation.
36
Q

Initial Managment of SAH

  • Intubation & ventilation
A

In Comatose patients.

37
Q

Initial Managment of SAH

  • Seizure prophylaxis
A

By phenytoin.

38
Q

Initial Managment of SAH

  • Stool Softeners
A

…

39
Q

Initial Managment of SAH

  • Neuroprotective
A
40
Q

Initial Managment of SAH

  • Triple H Therapy
A
41
Q

Definitive TTT of SAH

A
42
Q

Definitive TTT of SAH

  • Options
A
43
Q

Definitive TTT of SAH

  • Surgery
A
44
Q

Definitive TTT of SAH

  • Endovascular therapy
A

Surgery II - OSCE (20 decks)

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