[SAH] Flashcards

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1
Q
A

rupture of saccular (aka berry) aneurysm

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2
Q
A

hereditary weakness in blood vessels (esp. circle of willis)

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3
Q
A

ant. comm. / ant. cerebral

Post. comm. / internal carotid

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4
Q
A

AV malformations

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5
Q
A

3

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6
Q
A

Aneurysm due to bacterial infection of the vessel wall.

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7
Q
A

Polycystic kidney
Coarctation of aorta
Ehlers-Danlos (collagen, hypermobile)

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8
Q
A

Within seconds
worst ever headache
occipital typically

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9
Q
A

Seizures/collapse
coma (can last days/drowsiness for days)
vomiting

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10
Q
A

Neck stiffness

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11
Q
A

Hip and knee flexed 90
extension in the knee is painful (resistance)

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12
Q
A

SAH
Meningitis

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13
Q
A

AV malformations

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14
Q
A

Aneurysm due to bacterial infection of the vessel wall.

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15
Q
A

worst ever headache

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16
Q
A

days

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17
Q
A

SAH
Meningitis

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18
Q
A

occipital

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19
Q
A

seconds

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20
Q
A

Seizure –> coma

21
Q
A

Polycystic kidney
Coarctation of aorta
Ehlers-Danlos (collagen, hypermobile)

22
Q
A

Neck stiffness

23
Q
A

after

24
Q
A

vitreous/retinal bleeds - sign of SAH

25
Q
A

Prior warning headache (rare)(small leak)

26
Q
A

CT

(within 48hrs!)

27
Q
A

LP

28
Q
A

> 12hrs

29
Q
A

xanthochromia (yellow - bilirubin)

only red in the acute early phase OR a bloody tap

30
Q
A

immediately

31
Q
A

> 160mmHg

32
Q
A

maintain cerebral perfusion

33
Q
A

Nimodipine (60mg/4hrs

34
Q
A

Ca2+ antagonist - reduced vasospasm

35
Q
A

Endovascular coiling

36
Q
A

catheter/CT angiography

37
Q
A

to identify single or multiple aneurysms

38
Q
A

rebleeding

39
Q
A

Cerebral ischaemia causing permanent CNS deficits

40
Q
A

Cerebral ischaemia causing permanent CNS deficits

41
Q
A

rebleeding

42
Q
A

cerebral ischaemia

43
Q
A

Neck stiffness

44
Q
A

cerebral ischaemia

45
Q
A

Yes

46
Q
A

Yes

47
Q
A

blockage of arachnoid granulations

48
Q
A

ventricular/lumbar drain