Path Final Flashcards

(39 cards)

1
Q

name the 3 signs and symptoms of increased intracranial pressure

A
  1. headache
  2. nausea and vomiting
  3. papilledema ( swelling of optic disc)
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2
Q

state the characteristics of hydrocephalus ex vaco

A
  • more common in elderly
  • result in brain atrophy brain kdisease
  • associaTED WITH LOSS OF NEURONS OR AXONS IN THE WHITE MATTER
  • LEAVES INCREASED SPACE IN CRANIAL FOSSA FILLED WITH CSF
    • disease associated with alzzheimer’s
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3
Q

list the symptoms of hydrocephalus ex taco

A
  • bent knees
  • stooped posture
  • incontinence
  • loss of memory
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4
Q

T/F Hyrdocephalus is a common condition in children

A

true

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5
Q

describe how children may suffer from hydrocephalus

A
  • could be a dramatic increase of anterior fontanel and results in cranial hemangioma
  • during childbirth the bones may get stuck and pushes parietal bones
  • obstructs sagital sinus
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6
Q

name the two complications with hydrocephalus

A
  1. increased intracranial pressure

2. herniation of cerebellar tonsils

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7
Q

T/F
under normal circumstances, the brain receives 20% of the cardiac output and utilizes roughly 15% of the oxygen consumed by the body

A

false it is the opposite percentages

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8
Q

what is the # 3 cause of death in US

A

Cerebral vascular disease (stroke)

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9
Q

name the 3 types of strokes

A
  1. generalized reduction in blood flow
  2. infarct
  3. hemorrhage
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10
Q

which stroke is due to an anaphylactic shock and causes the dilation of blood vessels and the blood all goes to the abdominal cavity due to gravity from the brain
- occurs 5% cases of strokes

A
  • generalized reduction in blood flow
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11
Q

describe the characteristics of ischemic stroke

A
  • aka is infarct
  • it is caused by local vascular obstruction
  • it is 80% of cases - most common source
  • due to obstruction of blood flow in cerebral vessels of brain
  • necrotic tissue forms due to hypoxia
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12
Q

name the characteristics of a hemorrhage stroke

A
  • it is within brain parenchyma or the subarachnoid space 15% CVD
  • may be intracerebral or subarachnoid
  • a lacunar infarction is involved (aka hyaline arteriosclerosis)
  • deals with byline change
  • this is more common with advanced hypertension
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13
Q

Describe the mechanism of stroke development

A
  • a formation of atheroma in arterial wall which will lead to activation of platelets and give rise to a thrombus which will grow until it obstructs the lumen and tat portion of brain undergoes necrosis - (liquifactive necrosis)
    • it is replaced by microglia
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14
Q

T/F
neuroglia assists in healing of the tissue of the brain and usually results in the shrinking of the brain … this repaidr is called gliosis

A

False

neuroglia does not shrink like connective tissue does

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15
Q

describe what a lacunar infarction is

A

it deals with hyaline cartilage and is arteriosclerosis of the capillaries and undergoes obliteration resulting in micro infarctions
- more common with advanced hypertension

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16
Q

in haline arteriosclerosis there are infarcts in nuclei of ____

17
Q

what is the common cause of an ischemi stroke

A

thrombosis

- the emboli breaks off and travels through circulation and obstructs vessels with smaller lumen = causes infarction

18
Q

name the favorite places of atheroma development

A
  • cerebral artery
  • mesenteric artery
  • coronary artery
  • artery of extremities
19
Q

name the common location of atheroma

A
  • bifurcation of common carotid artery
  • bifurcation of internal carotid artery
    ( splits into middle and anterior cerebral arteries)
20
Q

where is the most vulnerable for ischemic stroke

A

territory of middle cerebral artery

21
Q

_______ is important source of thrombosis and goes to areas with good blood supply

A

mitral stenosis

22
Q

______ ______ creates embolism and development of hemmorrhagic stroke

A

bacterial endocarditis

23
Q

list some causes of an ischemic stroke

A
  • mitral stenosis
  • bacterial endocarditis
  • artificail valve
  • MI
24
Q

Transient Ischemic Attack AKA

A
  • temporary ischemic stroke
25
pt cannot talk, walk and has unilateral loss of vision .. the episode lasted for a short time and everything restored to normal .... what type of stroke is this
- Transient ischemic attack | - 1/3 of patients = TIA develops into real stroke after 6 months
26
Name the two AKAs of intracerebral hemorrhagic stroke
- parenchymal hemorrhagic stroke | - hypertensive hemmorrhagic stroke
27
which stroke usually develops in people with long term advanced hypertension
- Intracerebral hemorrhagic stroke
28
describe how hypertension results in hyaline arteriosclerosis
there is replacement of vascular wall with hyaline protein (glass-like) , the wall becomes more brittle and is prone to rupture due to increase bp which leads to rupture of arteriole
29
name the two AKA of subarachnoid hemorragic stroke
- saccular aneurysm | - berry aneurysm
30
describe what amaurosis fugax is
- is a manifest in temporary unilateral loss of vision | - associated with temporary thrombosis of opthalmic artery
31
_________ arteries are most commonly involved in hypertension
lenticulostriae arteries
32
list some results in herniration of the brain
- inflammation of cerebellar tonsils into foramen magnum (most serious) - arnold- chiari malformation
33
list what usually occurs in a intracerebral hemorrhage stroke
- hypertension - mechanical compression of brain tissue ( non- communicating hydrocephalus) - heniations - chemical function of blood in nervous tissue becomes toxic - produce loss of consciousness
34
what usually is the cause of a subarachnoid hemorrhagic stroke
- result of a rupture of aneurysm - 1% of pop. have it - from people born with weak middle layer of arteries - has a weak muscle layer of the bifurcation - leads to slow pouching of vascular wall develops into aneurysm
35
what are the percentages of distribution of congenital cerebral aneurysm
- 30% ant cerebral artery - 30% internal carotid artery - 25% middle cerebral artery - 2% post cerebral artery - 10% basilar artery - 3% vertebral artery
36
T/F | aneurysm is no more than 3 cm in diameter
false | 1 cm
37
what measurement is most vulnerable for a rupture
4mm to 7mm
38
name some characteristics of giant aneurysm
- greater than 1 cm up to golf ball size 5cm same symptoms of a brain tumor due to increase pressure atrophy - hedaache, nausea and vomitting and papilledema - not as vulnerable to rupture as berry aneurysm
39
name the 3 categories of brain injuries
- epidural hematoma (above dura) - subdural hematoma (below dura) - traumatic parenchymal brain injury