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3MB Neurology (the director's cut) > Stroke > Flashcards

Stroke Flashcards

1
Q

what is a stroke?

A

An experience of persisting neurological complications of CVS disease NOT a diagnosis

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2
Q

is there a higher incidence of cerebrovascualr disease over coronary vascular??

A

YES

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3
Q

Name some stroke mimics

A 
(1/3 of all presentations are mimics)
Seizure!!
sepsis
syncope
delirium
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4
Q

scale for assessing stroke mimics

A

ROSIER score

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5
Q

requirements for full stroke diagnosis

A

Type
Size
Laterality
Cause

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6
Q

MOST severe ischaemic stroke?

A

Total Anterior Circulation Syndrome (TACS) (5% alive and independent @ 1 year)

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7
Q

BEST prognosis ischaemic stroke?

A

Lacunar Syndrome (LACS) (60% alive and independent at 1 year)

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8
Q

signs of TACS

A

Hemiplegia

Homonymous hemianopia

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9
Q

what happens in LACS

A

small infarcts in deep arteries

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10
Q

what is PACS?

A

Partial anterior circulation syndrome (PACS)

2/3/ features present in TACS

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11
Q

what is POCS

A

posterior circulation syndrome (POCS)
CN palsies
GOOD prognosis (60%)

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12
Q

2 types of haemorrhgaic strokes

A

Primary intracerebral

Secondary intracerebral

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13
Q

Primary intracerebral examples

A 
Hypertension (deep bleed)
Amyloid angiopathy (lobar)
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14
Q

Secondary intracerebral examples

A

Arteriovenous malformation
Aneurysm
Tumour

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15
Q

right side of brain important for

A

spatial orientation

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16
Q

left side of brain important for

A

spoken language

17
Q

main causes of ischaemic stroke

A

50% athero embolism
25% intracranial small vessels disease
20% cardio-embolic

18
Q

causes 50% of cardio embolic strokes

A

AF

19
Q

score for assessing risk factors

A

CHADVAScore

20
Q

Acute management of stroke

A 
Thrombolysis (benefit diminishes 5 post episode)
Imaging
Swallow assessment
Nutrition and hydration
Antiplatelets
Stroke unit care
DVT prophylaxis
21
Q

Secondary prevention of stroke

A

Medication
lifestyle
Carotid surgery (endarterectomy)

22
Q

Invx for stroke

A 
Full lipid profile
BP
Carotid scan
ECG
Consider 72 hr ECG, ECHO
23
Q

ABC of stroke prevention

A 
Antithrombotic therapy (antiplatelet, anticoagulant)
BP
Cholesterol
Diabetes
Don't smoke

3MB Neurology (the director's cut) (11 decks)

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