Stroke- Clinical Features And Clinical Management Flashcards
1
Q
Definition of transient ischaemic attach?
A
Sign that part of the brain is not getting enough blood and risks a more serious stroke
2
Q
What is hemiplegia?
A
Paralysis of one side
3
Q
What are the clinical features of a stroke?
A
Motor symptoms
Sensory symptoms
Speech symptoms
Cognitive symptoms
4
Q
Examples of motor symptoms?
A
Alteration in tone ( Low, high and ataxia) Weakness Asymmetry Loss of balance Compensate 'counterbalance'
5
Q
Typical patient of high tone?
A
UPPER LIMB: Shoulder elevation and retraction Internal rotation and adduction Elbow flexion and pronation Wrist flexion Finger flexion LOWER LIMB: Hip retraction Hip extension Knee extension Ankle plantar flexion and inversion
6
Q
Examples of speech symptoms?
A
EXPRESSIVE DYSPHASIA: Damage to Broca's area Loose ability to produce speech RECEPTIVE DYSPHASIA: Damage to wernickes area in temporal lobe Lose ability to understand speech GLOBAL DYSPHASIA
7
Q
Cognitive symptoms?
A
Agnosia- ability to recognise objects when using a specific sense) Neglect In continence Gait Social problems
8
Q
Aims of physiotherapy treatment?
A
Prevent complications, minimise impairments and maximise functions
9
Q
Factors affecting recovery?
A
Extent and nature of lesion Age Capacity of NS to reorganise Environment Patient participation Medication
10
Q
Medical management?
A
Medical emergency MRI/CT SAH- surgery/ endoplasmic procedure Treat hypertension TIA- aspirin Blood test
11
Q
Definition of a stroke?
A
Rapid loss of brain function due to disturbance in blood supply to the brain
