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Jamie Cardiovascular Pathology > Stroke > Flashcards

Flashcards in Stroke Deck (24):
1

What is the WHO definition of a stroke?

A neurological deficit of sudden onset lasting more than 24 hours of vascular origin

2

What is a transient attack?

A stroke-like attack lasting less than 24 hours

3

What are the 5 primary stroke symptoms?

Loss of power
Loss of sensation
Loss of speech
Loss of vision
Loss of coordination

4

What are 3 symptoms that can occur during a stroke that suggest haemorrhaging?

Headache
Vomiting
Neck stiffness

5

What is a stroke usually caused by? (2)

Blockage of a blood vessel by an embolus
Haemorrhaging from a ruptured blood vessel

6

What is the main artery involved in supplying blood to the brain?

Carotid

7

What occurs in a hemorrhagic stroke?

Blood leaks into the brain tissue

8

What occurs in an ischemic stroke?

A clot stops prevents blood supply to an area of the brain

9

What is the most common cause of cardioembolic stroke?

Atrial fibrillation

10

What are the 4 stroke sub-types?

TACS (Total anterior circulation stroke)
PACS (Partial anterior circulation stroke)
LACS (Lacunar stroke)
POCS (Posterior circulation stroke)

11

What are 2 symptoms of TACS?

Loss of vision
Cerebral dysfunction

12

What is the main symptom of PACS?

Dysfunction of a limb

13

What is the symptoms of LAC?

Complete dysfunction of 1 side of body

14

What are the clinical risk factors for a stroke?

Hypertension
Atrial fibrilation

15

What 5 investigations would be done for a stroke?

Bloods
ECG
CT
MRI
Carotid doppler

16

What is the main technique used to treat stroke?

Thrombolysis (as soon as possible)

17

What is a new procedure that is being used to treat stroke?

Clot retrieval

18

What are 3 contraindications for thrombolysis?

Old age
Bleeding
Hypertension

19

When is Phase 1 of the TIA & minor stroke treatment plan?

0-30 months

20

What does Phase 1 of the TIA & minor stroke treatment plan include?

Daily appointment clinic available at all times

21

When is Phase 2 of the TIA & minor stroke treatment plan?

30-60 months

22

What does Phase 2 of the TIA & minor stroke treatment plan include? (2)

Access to an emergency action clinic
Treatment started at the clinic

23

What drugs are used to prevent strokes? (3)

Anti-platelet drugs (Clopidogrel or Asprin)
Statins
BP drugs

24

When is a carotid endarterectomy performed in stroke treatment?

After the vessels are heavily stenosed