Stroke Flashcards

1
Q

What is the Cerebrum responsible for?

A

speech, language, rational thinking, intuition

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2
Q

What is the frontal responsible for?

A

reasoning, judgement

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3
Q

What is the Parietal responsible for?

A

motor, sensory

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4
Q

What is the Cerebellum responsible for?

A

balance, posture

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5
Q

What is the Brainstem responsible for?

A

medulla controls resps and HR

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6
Q

What is the Occipital responsible for?

A

visual - colour, motion and depth

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7
Q

What is the Temporal responsible for?

A

auditory, long term memory

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8
Q

Describe the pathophysiology of stroke

A

Complete interruption of cerebral blood flow to obstruction/rupture of artery supplying blood to the brain

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9
Q

What are the 2 classifications of stroke?

A
Transient ischaemic attack (TIA)
Subarachnoid Haemorrhage (SAH)
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10
Q

What is TIA?

A

Acute loss of cerebral,ocular function with symptoms lasting less than 24 hours due to inadequate blood supply to the brain.

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11
Q

What are the two types of stroke associated with TIA?

A

thrombotic stroke

embolic stroke

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12
Q

what is a thrombotic stroke?

A

Blood clot blocks flow to the brain

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13
Q

what is an embolic stroke?

A

blood clot breaks away and blocks cerebral artery to brain

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14
Q

What is Subarachnoid Haemorrhage?

A

rupture of vessels in subarachnoid space. Intracranial haemorrhage - rupture of vessels into brain substance

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15
Q

What is the treatment for suspected TIA?

A

aspirin 300mg stat

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16
Q

What is the treatment for confirmed TIA?

A

clopidogrel 300mg loading and 75mg thereafter

  • atorvastatin 20mg OD
  • antihypertensive (ACEI/ARB/CCB)
17
Q

What are the non pharmacological managements of stroke?

A

Carotid endarterectomy

Balloon angioplasty

18
Q

What is a carotid endarterectomy?

A

neck incision exposing carotid artery to remove obstruction plaque

19
Q

what is a balloon angioplasty?

A

compresses plaque against artery wall to prevent narrowing reoccurring