Stroke Flashcards Preview

Y1 Cardiovascular > Stroke > Flashcards

Flashcards in Stroke Deck (12)
Loading flashcards...
1

80-85% of strokes?

Ischaemic

2

15-20% of strokes

Haemorrhagic

3

Common causes of haemorrhagic stroke?

hypertension or weakened blood vessel wall

4

Virchows triad

Endothelial injury, circulatory stasis, hypercoagulable state

5

Non-modifiable risk factors for stroke (5)

Age, FH, Gender, Race, Previous Stroke

6

Modifiable risk factors for stroke (9)

hypertension, hyperlipidaemia, smoking, diabetes, Afib, CHF, Alcohol excess, obesity, physical activity

7

Rarer causes of Stroke

vasculitis, Protein C, S or antithrombin III deficiency, factor V leiden mutation

8

Things Stroke can mimic

hypoglycaemia, seizure, migraine, other metabolic issues - hyponatraemia, space occupying lesions,

9

Investigations for stroke?

Glucose, lipids, thrombophilia (young), CT angiography of aortic arch, atheroembolism, ECG, ECHO, paroxysmal AF

10

Medical management of Stroke

aspirin 75mg, Clopidogrel 75mg daily/dipyrimadole MR 200mg BD, statins, in AF anticoagulation, anti-hypertensives

11

Surgical Management of Stroke

haematoma evacuation, relief of ICP, obstructive hydrocephalus, carotid enderterectomy

12

Emergency management of stroke

thrombolysis if ischaemic, even in TIA. Management is multidisciplinary.