L4: Stroke Flashcards
1
Q
Def of Stroke
A
2
Q
Types of Stroke
A
3
Q
TIA
A
If these signs is temporary “within 24 hours” it’s called Transient ischemic attack
4
Q
Epidemeology of Stroke
A
5
Q
Classification of Stroke
A
6
Q
Pathology of Ischemic Stroke
A
7
Q
Etiology of Ischemic Stroke
A
8
Q
Etiology of Ischemic Stroke
- Thrombotic Causes
A
- Lacunar stroke.
- Large vessel thrombosis.
- Hypercoagulable disorders.
9
Q
Etiology of Ischemic Stroke
- Embolic Causes
A
10
Q
Types of Hemorrhagic Stroke
A
1) Intracerebral hemorrhage (ICH).
2) Subarachnoid hemorrhage (SAH).
11
Q
Etiology of ICH
A
12
Q
Most common cause of ICH
A
Chronic HTN
13
Q
Etiology of SAH
A
14
Q
Etiology of SAH
- Traumatic
A
Most Common Cause
15
Q
Etiology of SAH
- Spontaneous
A
16
Q
Death by Aneurysm
A
10% die before reaching the hospital
17
Q
Annual Rate of Aneurysm
A
10-30%
18
Q
Age of Aneurysm
A
- Peak age 55-6 y & 20% can occur in age 15-45 y.
- Old age has a higher proportion with a severe neurological grade.
19
Q
RF for Aneurysm
A
- Hypertension.
- Oral contraceptives.
- pregnancy & parturition.
- Substance abuse
20
Q
Outcome of SAH
A
21
Q
Presentation of SAH
A
22
Q
Dx of SAH
A
23
Q
Best Initial test in SAH
A
CT Brain without contrast
24
Q
Digital Subtraction Angiography
A
25
Managment of **Hemorrhagic Stroke**
26
Managment of **Hemorrhagic Stroke**
- introduction
27
Managment of **Hemorrhagic Stroke**
- Optimal managment
28
Managment of **Hemorrhagic Stroke**
- Managment Concerns
29
Managment of **Hemorrhagic Stroke**
- TTT of Vasospasm
30
Managment of **ICH**
- Acute
- Surgical
31
Managment of **ICH**
- Acute Managment
32
Managment of **ICH**
- Surgical Managment
33
**SAH Managment**
- Initial
- Definitive
34
Managment of **SAH**
- Initial Managment
35
Initial Managment of **SAH**
- Absolute Bed Rest
With 30 degrees head elevation.
36
Initial Managment of **SAH**
- Analgesia
**Short-acting & reversible agent.**
- Pain is associated with a transient it in blood pressure & 11 risk of rebleeding.
37
Initial Managment of **SAH**
- Sedation
38
Initial Managment of **SAH**
- Neuro-Checks
Hourly
39
Initial Managment of **SAH**
- Monitoring
- Strict input & output.
- BP & Oxygen saturation.
40
Initial Managment of **SAH**
- Intubation & ventilation
In Comatose patients.
41
Initial Managment of **SAH**
- Seizure prophylaxis
By phenytoin.
42
Initial Managment of **SAH**
- Stool Softeners
...
43
Initial Managment of **SAH**
- Neuroprotective
44
Initial Managment of **SAH**
- Triple H Therapy
45
Definitive TTT of **SAH**
46
Definitive TTT of **SAH**
- Options
47
Definitive TTT of **SAH**
- Surgery
48
Definitive TTT of **SAH**
- Endovascular therapy
