Early Stroke Management Flashcards
What does oropharyngeal muscle weakness after stroke cause?
Dysarthria - (slurred, indistinct speech) and uncoordinated swallowing.
What is expressive dysphasia?
BROCA’S
Problem expressing speech.
Where is Broca’s area?
Infero-lateral frontal lobe
What is receptive aphasia?
WERNICKE’S
Problem understanding speech.
In which type of aphasia is reading, writing and comprehension damaged?
Wernickes
Where is Wernicke’s area in a right handed person?
Left posterior superior temporal lobe
Under what conditions would anti-hypertensive treatment be given with after an acute stroke?
> Intracerebral haemorrhage with systolic BP >200
Pre-eclampsia
Aortic dissection
What is the prophylaxis for DVT?
LMW Heparin
What is the treatment for DVT?
6 months Warfarin
What is the pathogenesis for a pressure ulcer?
Constant pressure applied friction and shearing forces over bony prominences.
What side hemisphere stroke causes neglect of an affected limb?
Right side
Explain what causes shoulder subluxation after a stroke?
Rotator cuff muscles on stroke side cause shoulder to slip out of joint.
How can other causes of shoulder pain such as RC tear, tendonitis, capsulitis be eliminated from RC weakness?
Ultrasound scan
Why would stroke exacerbate osteoarthritis, rheumatoid arthritis and chronic back pain?
Loss of stroke side limb leads to overuse of other side.
In post-stroke pain, what side does the patient feel pain?
Contralateral side
