Stroke Flashcards

1
Q

What is a stroke?

A

A stroke is a problem with the nerve, spinal cord or brain function and occurs due to the interruption of blood supply the brain.

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2
Q

What are the two different types of stroke?

which is more common?

A

The two different types of stroke are ischaemic and haemorrhagic.
Ischaemic is more common.

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3
Q

What are the signs and symptoms of stroke?

A
Facial weakness
Arm/leg weakness
Speech problems
Visual defects
Loss of consciousness 
Headache
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4
Q

What are the modifiable risk factors that lead to stroke?

8 risk factors

A
HT
Smoking
Atrial fibrillation 
Hyperlipidaemia
Diabetes 
Diet, alcohol intake and excerise
Stress/ Depression 
High waist to hip ratio.
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5
Q

What are the non modifiable risk factors leading to stroke?

6 risk factors

A
Age
Ethnicity
Ischaemic Heart Disease 
Genetics
Gender
Sickle cell disease
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6
Q

What causes the two types of ischaemic strokes?

A

They can be thrombotic and embolic.

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7
Q

What causes thrombotic ischaemic stroke?

A

These are a result of atherosclerotic plaques which form blood clots blocking blood vessels causing brain infraction.

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8
Q

What causes embolic ischaemic stroke?

A

Embolic ischaemic stroke is caused when clots from else where in the body travel through the circulatory system. Mainly caused by atrial fibrillation.

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9
Q

What neurochemical events occur in brain tissue affected by a ischaemic stroke?

A
Energy depletion 
Release of glutamate
Calcium channel dysfunction
Free radical release
Membrane disruption 
Inflammatory changes
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10
Q

How can brain tissue at risk of death be saved?

A

The brain tissue can be saved by restoring blood supply.

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11
Q

What is a TIA?

And what causes this?

A

TIA is a transient ischaemic attack.

This is caused by temporary disruption of blood supply to the brain leading to ischaemia from lack of oxygen supply.

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12
Q

What is the different between a normal Stoke and TIA?

A

The difference is the duration they are experienced for from a few minutes to hours and can be resolved within 24hrs.

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13
Q

What are the two types of haemorrhagic stroke?

A

The two types of haemorrhagic stroke are intracerebral and subarachnoid.

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14
Q

What causes haemorrhagic stroke?

A

This stroke variation due to a rupture of blood vessels and cause a compression of brain tissue resulting in brain tissue injury.

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15
Q

What causes intracerebral haemorrhage?

A

This is caused by rupturing of small vessels in the brain caused by blood vessel damage.

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16
Q

What causes subarachnoid haemorrhage?

A

This is the gradual collection of blood within the subarachnoid space caused by trauma or rupture.

17
Q

What is the aim of stroke treatment and where are these patients treated?

A

The aim is to achieve the best possible recovery of function avoid further complications these patients should be treated in a dedicated stroke unit.

18
Q

What tool is used to differentiate between ischaemic stroke and haemorrhagic stroke?

A

Computerised tomography a scan of the brain allows to differentiate between the two and apply correct treatment.