Cerebrovascular Disease Flashcards Preview

Clin Med 3 Neuro > Cerebrovascular Disease > Flashcards

Flashcards in Cerebrovascular Disease Deck (15)
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1
Q

decreased concentration, personality changes, contralateral sensorimotor deficit of the extremities (face spared)

suggests a CVA in which artery?

A

anterior cerebral artery

2
Q

no ipsilateral vision loss but contralateral visual field deficit, sensorimotor deficit, and CNVII palsy
dominant hemisphere: agnosia, R/L disorientation, agraphia, alexia
nondominant hemisphere: apraxia, hemi-neglect
suggests what artery CVA?

A

middle cerebral artery

3
Q
contralateral hemisensory loss
contralateral visual deficit
cortical blindness
color agnosia
suggests a CVA where?
A

posterior cerebral

4
Q

CVA resulting in: coma, diplopia, vertigo/ataxia/imbalance, weakness & sensory loss

where?

A

vertebrobasilar circulation

5
Q

acute management of CVA? (4)

A

tx BP if > 200/100. IV Labetalol
anticoagulation: tPA, Heparin (short term), Coumadin (long term)
antiplatelet meds (Ticlopidine, Clopidigrel)
Statins

6
Q

histories that would contraindicate TPA use? (6)

and how recently did these occur?

A
recent head trauma- 3 months
hx intracranial hemorrhage
hx of GI or GU hemorrhage (3 weeks)
hx of major surgery (2 weeks)
pregnancy
HTN or use of anticoagulants
7
Q

indications for carotid disease surgery

A

> 70% stenosis

8
Q

acute onset of severe HA, N/V, associated w/ extreme increase in BP

A

intracerebral hemorrhage

9
Q

risk factors for intracerebral hemorrhage? (4)

A

uncontrolled HTN
coagulation defects
pts on anticoag
recreational drug use

10
Q

tx for intracerebral hemorrhage

A

control BP
anticonvulsants
control ICP
decompression for ICP

11
Q

“worst HA of my life”

A

subarachnoid hemorrhage

12
Q

N/V, nuchal rigidity, focal neuro deficits, severe acute HA

A

subarachnoid hemorrhage

13
Q

stroke risk factors (5) for pt education

A
positive FH
hx HTN
hx tobacco use
hx of hyperlipidemia
hx A Fib
14
Q

hospital red flags (3)

A

facial droop
arm drift
speech

15
Q

ipsilateral monocular vision loss, contralateral visual field deficit, aphasia, contralateral sensorimotor deficit, contralateral CNVII palsy

signs of CVA in which artery?

A

internal carotid