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Question 1

Cerebral Artery Aneurysm

Answer 1

Severe headache, blurred vision
Altered LOC
s/sx of ICP (unequal pupils, paralysis, coma)

Example sentence: The patient presented with a severe headache and altered level of consciousness.

Question 2

Thoracic Aortic Aneurysm

Answer 2

Sudden onset
Pain, ripping or tearing sensation
Pain may radiate to the neck, back, shoulders or abdomen
Stridor or hoarseness, dyspnea
Dysphagia
s/sx of Hypovolemic shock after rupture

Example sentence: The sudden onset of pain in the chest raised concerns of a thoracic aortic aneurysm.

Question 3

Abdominal Aortic Aneurysm (AAA)

Answer 3

Lower abdominal pain on the left side
Pain may be constant or intermittent
Palpable abdominal pulse
Lower back or flank pain
Unequal or absent distal pulses

Example sentence: The palpable abdominal pulse indicated a possible abdominal aortic aneurysm.

Question 4

Transient Ischemic Attack (TIA)

Answer 4

Same as CVA but not permanent, resolves between 24-48 hrs

Example sentence: The patient experienced a transient ischemic attack, with symptoms resolving within 24 hours.

Question 5

Cerebral Vascular Accident (CVA - Stroke)

Answer 5

Headache
Change in LOC
Blurred vision
Unequal pupils
Hemiplegia (paralysis of one side of body)
Common causes are hypertension and arteriosclerosis
TREATMENT - No treatment in pre-hospital setting- RUSH patient to stroke center for heparin therapy- more time goes by the worse the outcome
HEMORRHAGIC STROKE - quick; ISCHEMIC STROKE - slow

Example sentence: The patient was diagnosed with a cerebral vascular accident, showing symptoms of headache and hemiplegia.

Question 6

Hypertensive Crisis

Answer 6

Headache
Diziness
Restless
Blurred vision
Nose bleed
Vomiting
Seizure
Stupor
Coma

Example sentence: The hypertensive crisis presented with symptoms of headache, dizziness, and nosebleeds.