Strokes Flashcards

1
Q

Small strokes are referred to as ________ strokes

A

Lacunar

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2
Q

Small vessel occlusions commonly have what three categories of symptoms?

And lack what signs?

A

Pure motor defects, pure sensory, and ataxic hemiparesis

Small vessel occlusions lack cortical signs such as agnosia, aphasia, apraxia, hemianopsia

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3
Q

Cortical signs are commonly found in what types of strokes?

What are the four cortical signs?

A

Large vessel occlusions.

Agnosia, aphasia, apraxia, hemianopsia

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4
Q

Define

Hemiplegia

A

Unilateral weakness

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5
Q

Define

dysarthria

A

Motor

Difficulty with articulating

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6
Q

Define

Dysphagia

A

Difficulty with swallowing

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7
Q

Define ataxia

A

Body physical imbalance.

Leaning

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8
Q

Nystagmus

A

Unsteady eye motion. Side to side

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9
Q

What are the two vessels commonly occluded in LVO’s

A

ACA

MCA

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10
Q

What four signs are found with a LVO?

A

Agnosia

Aphasia

Apraxia

Hemianopsia / gaze palsy

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11
Q

Define

Agnosia

A

Inability to interpret sensations and therefore difficulty recognizing things

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12
Q

Aphasia

What are the two main types?

A

Difficulty understanding language.

Expressive Wernicke

Receptive Broca

Aphasia is impairment in the ability to use or comprehend words.

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13
Q

Apraxia

A

Apraxia of speech (verbal apraxia) is difficulty initiating and executing voluntary movement patterns necessary to produce speech when there is no paralysis or weakness of speech muscles.

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14
Q

Hemianopsia

A

Blindness over half the field of vision

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15
Q

The MCA usually corresponds to what part of the body?

The ACA usually corresponds to what part of the body?

A

ACA-legs

MCA - arms/face

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16
Q

How sensitive is BP fluctuations in regards to ischemic and hemorrhagic strokes?

A

Ischemic CVA is more sensitive to BP fluctuation.

Hemorrhagic CVA, BP needs to be relieved due to re-bleeding possibility.

17
Q

What should the treatment of ischemic CVAs be like?

A

Mild and slow reduction.

Neuroprotective intubation

Coumadin: (vitamin K antagonist) so give vitamin K and plasma.

18
Q

What’s the treatment for hemorrhagic CVAs?

A

No NTG or hydralazine.

IV labetalol
IV nicardipine
IV ACE inhibitor: enalapril