Stroke Flashcards

1
Q

Define a stoke

A
  • acute onset of focal neurological symptoms and signs, due to desruption of blood supply
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2
Q

What are the two types of stoke?

A
  • ischaemic

- haemorrhagic

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3
Q

What is the most common type of stroke?

A
  • ischaemic
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4
Q

Define an ischaemic stroke

A
  • clot blocks blood flow to an area of the brain
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5
Q

Define a haemorrhagic stroke

A
  • bleeding occcurs inside or around brain tissue
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6
Q

What are causes of haemorrhagic strokes?

A
  • high blood pressure

- weakend blood vessel walls (aneurysm or vasculitis)

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7
Q

Define thrombotic

A
  • clot blocking artery at the site of occlusion
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8
Q

Define embolic

A
  • clot blocking artery has travelled to the artery it occuludes
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9
Q

Define hypoperfusion

A
  • due to reduced blood flow due to stenosed artery rather than occlusion of artery
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10
Q

What are potentially reversible risk factors for strokes?

A
  • hyperlipidaemia
  • hypertension
  • smoking
  • AF
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11
Q

What drug should be given to prevent furture strokes in a patient who has suffered an ischaemic stroke?

A
  • statins
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12
Q

What way is a stroke diagnosed?

A
  • CT brain

- MRI

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13
Q

What should a young patient be screened for if they present with a stroke?

A
  • thrombophillia
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14
Q

Atheroembolism?

A
  • embolism from a thrombus forming on a atheroscleroting plaque
  • same side as affected carotid artery
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15
Q

Cardioembolism?

A
  • embolism from a clot formed in the heart
  • usually left artium
  • ECG
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16
Q

Treatment of an ischaemic stroke?

A
  • up to 4.5hrs –> thrombolysis

- up to 6hrs –> thrombectomy

17
Q

Treatement of an haemorrhagic stroke

A
  • lower BP

- Surgery

18
Q

Drugs given to prevent furture strokes?

A
  • asprin + clopederol
  • statins (ischaemic)
  • diabetes management
19
Q

What does TIA stand for?

A
  • Transient Ischaemia Attack
20
Q

Define a Transient Ischameic Attack (TIA)

A
  • Temporary neurological symptoms due to occlusion of artery stopping blood flow.
21
Q

Why is a TIA only temporary?

A
  • arteries capable of dissolving small clots