Unit Two Exam Stroke Flashcards
What is the third leading cause of death in the US
Cerebrovascular accidents
How many brain cells die each minute during stroke
2 million
What is the second most frequent cause of disability in the US
Stroke
What are the two types of CVA
Ischemic and hemorrhagic
What are ischemic CVAs
Where blood supply to a portion of the brain has stopped usually due to a thrombus
Most common stroke
Ischemic
What is a hemorrhagic CVA
Loss of blood flow due to bleeding, often from aneurysm
What stroke is associated with manipulation
Ischemic
How do ischemic strokes normally occur with manipulation
Flap from a torn inner layer of the vertebral artery and the thrombus that heals the torn inner layer often breaks off and travels to the brain
What is the single most serious complication encountered in the practice of chiropractic
Strokes following cervical manipulation
What is the general term for CVA
Stroke
What is the time frame for stroke that needs emergency intervention
First three hours
What is a warning sign of potential CVA include
Sudden onset of headache/neck/face pain that’s different than the patient has experience before
If patient might have stroke, ask them to do what
Smile, raise both arms, stand steady on both feet with eyes closed, speak a simple sentences, and stick out their tongue (STR)
What does FAST stand for
Face, arms, speech, and time
What are the 5D’s and 3N’s of stroke
Diplopia, dizziness, drop attacks, dysarthria, dysphasia, ataxia, nausea, numbness and nystagmus
Typical symptoms of VBAI
Nausea, vomiting, ataxia, slurred speed, tinnitus, and vision disturbances
Who are in risk of stroke
Female, age 20 -40, oral birth control meds, postpartum, smoker, chronic migraine, family history of HTN, diabetic, hx of TIA, neck sprain with attending muscle spasms
What are some other causes of vertebral artery injury
Mechanical events such as extension and rotation of the c spine
