reading flash cards

1
Q

what is cerebral edema

A

accumulation of fluids within the brain

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2
Q

what is a stroke

A

cessation of cerebral blood flow and oxygen-glucose deprivation sets in motion a series of pathological events.

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3
Q

what kind of stroke produce cerebral edema

A

Ischemic strokes

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4
Q

when does cerebral edema reach is max

A

3-4 day after insult

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5
Q

what is the result of cerebral edema

A

Result of tissue necrosis and widespread rupture of cell membranes with movement of fluid from the blood into brain tissues.

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6
Q

what are the Clinical signs of elevating intracranial pressure (ICP)

A

o decreasing level of consciousness (stupor and coma),
o widened pulse pressure,
o increased heart rate,
o irregular respirations (Cheyne-Stokes respirations),
o vomiting, unreacting pupils (cranial nerve [CN] III signs)
o Papilledema.

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7
Q

what is a Transient ischemic attack (TIA)

A

temporary interruption of blood supply to the brain

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8
Q

how long does a TIA last

A

Few min to hour but do not last more than 24hrs

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9
Q

what is a Deteriorating stroke

A

refers to the patient whose neurological status deteriorates after admission to the hospital.

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10
Q

what is consider a young stroke

A

less than 45 years old

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11
Q

what is - Fluent aphasia

A

wernickes

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12
Q

what is - Nonfluent aphasia

A

brocas

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13
Q

what is - Dysphagia

A

inability to swallow or difficulty in swallowing

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14
Q

Swallowing dysfunction of the oral stage whihc CN

A

CN V [trigeminal], CN VII [facial])

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15
Q

Pharyngeal stage dysphalogia - which CN

A

CN IX [glossopharyngeal], CN X [vagus], and CN XI [accessory])

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16
Q

o oral and pharyngeal dysphalogia - which CN

A

CN XII [hypoglossal])

17
Q

what does NPO mean

A

nothing by mouth

18
Q

cognitive dysfunction with stroke is associated with

A

Result of lesions affecting the prefrontal cortex, limbic system, and limbic cortex

19
Q

what stays intact STM or LTM

A

STM effect
LTM stays

20
Q

STM issue due to what area of the brain

A

lesion in the limbic system, limbic associated cortex, or temporal lobes

21
Q

LTM is due to a issue where in the brain

A

the hippocampus

22
Q

what is confabulation

A

memory gaps may be filled with inappropriate words or fabricated stories

23
Q

what is Preservation

A

the continue rep of words, thoughts, or actions that are not related to current context

the pt gets stuck

24
Q

what is the brain issue that causes preservation

A

prefrontal/premotor

25
what is multi-infract dementia
impairments in memory and cognition, fluctuates in function results from multiple small infarcts of the brain
26
what is delirium
acute confusional state Hallucinations are common
27
when is delirium most often see in stroke
More freq seen in the acute stage of stroke
28
what is Pseudobulbar affect (PBA)
emotional outbursts of uncontrolled or exaggerated laughing or crying that are inconsistent with mood.
29
what is apathy
shallow affect and blunted emotional responses
29
what is Euphoria
exaggerated feeling of well being
29
what do we see with Left hemisphere lesions (right hemiplegia)
demonstrate difficulties in communication and in processing information in a sequential, linear manner. (language)
30
what do we see with Right hemisphere lesions (left hemiplegia)
demonstrate difficulty in spatialperceptual tasks and in grasping the whole idea of a task or activity. (neglect) o Frequently described as quick and impulsive o Tend to overestimate their abilities
31
what is agnosia
our brain can’t recognize something, even though your senses can detect it Loss of the ability to identify objects or people.
32
Visual perceptual deficits include
body scheme/body image, spatial relations, agnosia
33
what brain issue is visual perceptual deficits due to
right partial cortex
34
what is Body scheme
the postural model of the body, relationship of each body part to each other
35
what is Body image
the visual and mental image of ones’ body
36
what is Spatial relations syndrome
group of impairments that have in common a difficulty in perceiving the relationship between the self and two or more objects in the environment.
37
what is - Unilateral neglect
lack of awareness of part of the body or the external environment