Stroke and TIA Flashcards

1
Q

What is the difference between an ischaemic stroke and TIA?

A

TIAs and ischaemic strokes are both caused by an interruption of blood supply to an area of the brain, however the symptoms of TIA fully resolve within 24 hours (usually a lot less time)

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2
Q

What is dysarthria?

A

A motor speech disorder resulting in poor articulation

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3
Q

What is dysphasia?

A

A language disorder resulting in difficulties of generating speech (expressive) or comprehension of speech (receptive)

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4
Q

What are the features of TIA and stroke?

A

Headache, nausea, vomiting, neck stiffness, numbness, tingling, incontinence, weakness, confusion, loss of balance, visual problems, difficulty understanding and producing speech

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5
Q

What is ataxia?

A

Group of disorders that affect co-ordination, balance and speech

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6
Q

What is dysphagia?

A

Swallowing problems

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7
Q

If swallowing is not checked on a patient, what may occur?

A

May lead to aspiration pneumonia and choking

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8
Q

What are risk factors of stroke?

A

-Hypertension
-Diabetes
-Previous stroke/TIA
-Smoking
-Excessive alcohol intake
-Combined oral contraceptive pill
-Weight

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9
Q

How may ischaemic strokes occur?

A

Can be caused by atheroma or thromboembolism

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10
Q

Why is atrial fibrillation a risk factor for stroke?

A

Atrial fibrilalion may cause clots which can turn into emboli and lead to the brain

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11
Q

What does FAST stand for?

A

FACE
ARMS
SPEECH
TIME

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12
Q

What can damage to the motor area of the right cerebral hemisphere cause?

A

Weakness of the left arm, leg and face

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13
Q

What can damage to Broca’s and Wernicke’s areas in a stroke cause?

A

Broca’s= speech problems
Wernicke’s= difficulty in understanding speech, reading and naming objects

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14
Q

What must be done to determine the cause of a stroke?

A

A brain CT usually

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15
Q

What is a doppler ultrasound?

A

An ultrasound of the carotid arteries in the neck- in stroke can check for patches of atheroma

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16
Q

What is the initial treatment for those with ischaemic strokes?

A

300 mg aspirin daily for two weeks- longer term treatment is clopidogrel (anti-platelet medication)

17
Q

What is thromboectomy?

A

Surgery to remove clots

18
Q

What medication may be given to patients with atrial fibrillation to reduce the chance of stroke?

A

Anticoagulant medication such as warfarin, apixaban or rivaroxaban