Stroke & Brain Haemorrhage Flashcards
State 3 key questions to ask patients with suspected brain haemorrhage.
Was it sudden onset?
Was it maximal at onset?
How does it compare to previous headaches?
What facial tests can be done for stroke?
Smile, show me your teeth, stick out your tongue, puff out your cheeks.
Frown, close eyes tightly.
How might you be able to differentiate between stroke and Bell’s Palsy?
Central lesions from stroke will result in lower face weakness but upper face ok. So frown and eye closure not affected with stroke due to duel innervation of upper face.
What stroke tests can be done with the arms and legs?
Arms out, palms up, eyes closed.
Raise each leg individually few inches off ground and hold.
What speech tests can be done for stroke?
How are you?
What’s your name?
Can you repeat “you can’t teach an old dog new tricks”.
Discuss dysphasia.
Dysphasia can be receptive or expressive. Receptive dysphasia is difficulty in comprehension, whilst expressive dysphasia is difficulty in putting words together to make meaning.
What is dysphagia?
Difficulty swallowing.
