Neurological Emergency Flashcards
1
Q
Two main types of stroke?
A
Ischaemic (around 80%)
Haemorrhage
2
Q
Causes of intra-cerebral haemorrhage?
A
Hypertension Ruptured aneurysm Haemorrhagic necrosis Venous outflow obstruction Trauma Altered haemostasis
3
Q
How to check brain scan for ischaemia?
A
Check for small swelling
Check for hypodense areas
4
Q
When would you do a carotidectomy?
A
When there’s a plaque in the carotid that can be removed, to prevent a stroke, this is usually done after first stroke to prevent second. Clip both ends, circle of willis will take over blood supply.
5
Q
Big heart condition that is risk factor for stroke?
A
AF, counteracted by anticoags and aspirin.
6
Q
What is chadsvasc?
A
Risk for AF causing stroke. Total points leads to adjusted stroke rate.
7
Q
Typical stroke?
A
Middle cerebral artery Contralateral hemiparesis, hemisensory loss Hemianopia Visual and sensory inattention Dysphagia, dysarthria, dysphagia
8
Q
Biggest determinants of recovery?
A
TIME Collateral Temperature Glucose etc. TIME
