Stroke Flashcards
What is the 1st most appropriate next step in the management of this patient with a stroke?
CT head scan
Why is a CT scan the first management of a suspected stroke?
Differentiate between an Ischaemic stroke and a Haemorrhagic stroke.
What would be the next appropriate step for a patient with a haemorrhagic stroke confirmed by a CT head scan?
Urgent neurosurgical referral
What is a treatment option in a patient with ischaemic stroke confirmed by a CT head scan who has presented sooner than 4.5 HOURS after symptom onset?
Thrombolysis
Which treatment is most important for you to pursue for a patient of yours who has just been released from the hospital for an ischemic stroke?
(*AGGRESSIVE)
AGGRESSIVE control of blood sugar
Control of Blood Pressure
- AGGRESSIVE FOR BLOOD SUGAR
A 55M is found slumped on a chair with left sided facial droop, left sided arm weakness. His speech is preserved . He had a fall 2 days ago where he hit his head. He is complaining of a severe headache. His father had died of a stroke aged 62 due to a brain aneurysm. He lives alone, drinks ½ litre whisky per day and takes cocaine regularly. What is the most likely cause of his presentation?
Right anterior circulation haemorrhagic stroke
What is the most important initial investigation for the patient with Right anterior circulation haemorrhagic stroke?
CT Head
Which of the following drugs will a patient (without AF) have to continue lifelong following a stroke?
Clopidogrel 75mg OD
Where should a patient with acute stroke ideally be managed initially?
Hyper-acute stroke unit
An 80 year old gentleman is almost ready to be discharged following treatment for an ischaemic stroke. Which member of the MDT will vbe able to visit his home and implement necessary adaptations to help him on discharge?
Occupational therapist
