Stroke

Question 1

Stroke

Answer 1

an acute focal injury due to lack of blood/oxygen to the central nervous system causing neurological deficits

Question 2

Ischemic

Answer 2

infarction of brain tissue resulting in compromised blood flow

Atherosclerotic
Cardioembolic

Question 3

Hemorrhagic

Answer 3

bleeding of the brain due to ruptured cerebral artery

Question 4

Non-modifiable risk factors

Answer 4

Age, gender, race

FH

Low birth weight

Sickle cell disease

Question 5

Modifiable risk factors

Answer 5

CV disease (A-fib, vascular disease)
HTN
HLD
DM
Alcohol abuse
Obesity
Smoking

Question 6

Presentation

Answer 6

Dysphasia (difficulty speaking)
Facial drooping
Unilateral/bilateral weakness
Ataxia
Vision changes
Headache–>most common with hemorrhagic

Question 7

Assess

Answer 7

NIHSS: score 0-42

Imaging: CT scan or MRI

Tests: ECG
-NSR: atherosclerotic ischemic
-A-fib: cardioembolic

Vital signs: BP, O2

Labs: Blood glucose, CBC, BMP, INR, aPTT