Stroke & TIA Flashcards Preview

Jason's MD2 Core Conditions > Stroke & TIA > Flashcards

Flashcards in Stroke & TIA Deck (24)
1

How assess facial droop?

get them to smile

2

how to assess arm strength?

bilateral shoulder flexion

3

TIA definition?

neurological episodes <24 hours without damage on imaging

4

rule in stroke in ED if the patients knows?

exact time of onset
recall what they were doing
feeling well in the last week

5

small vessel stroke called? where affect?

lacunar infarct
affects subcortical

6

hemorrhagic stroke is better of worse than ischaemic?

worse 30-40% mortality
worse functional outcome

7

when do you normally get a deep hemorrhagic stroke?

hypertension, rupture of deep penetrating arteries

8

what kind of hemorrhagic stroke do you get with aneurysm, AV-malformation, tumour?

lobar

9

what cancer do you get bleeding metastasis?

melanoma

10

TIA usually lasts how long?

<10 minutes

11

what is a source of paradoxical embolism?

patent foramen ovale
DVT into brain

12

tPA administration timeframe?

<5 hours

13

why do you get fluctuating symptoms of stroke in some people?

collaterals

14

tPA contraindications?

bleeding risk (ie. warfarin)
seizure at onset

15

when you're in country looking at a CT scan, what is a tip to see if there is a thrombus?

partial volume effect
look at 1mm slice instead of 5mm slice to see through artery

16

3 investigations after you think it's a TIA?

12 lead ECG
CT head
Carotid Dopplar

17

how to treat post TIA?

anticoagulant, statin, aspirin

18

difference between symptoms of migraine vs. TIA?

migraine spreads upwards from distal limb sometimes
TIA just happens

19

primary prevention of stroke?

smoking, HTN, DM2, obesity, exercise

20

Warfarin vs. Aspirin for AF?

NOT THE SAME

21

NOACs excretion how?

Renal: assesss renal function

22

CHADS2 score for?

risk of stroke vs. bleed

23

what is the paradigm shift in lowering BP and cholesterol?

ANY lowering of lowering BP and cholesterol good for secondary stroke prevention

24

Aspirin vs. clopidogrel?

clopidogrel more effective in prev of serious high risk vascular events