Stroke Overview Part 1 Flashcards

1
Q

What are 2 types of strokes

A

Ischemic
Hemorrhagic

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2
Q

What is an ischemic stroke

A

Blocked blood vessel

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3
Q

What’s is hemorrhagic stroke

A

Weakened blood vessel ruptures

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4
Q

What is thrombotic stroke

A

Type of ischemic, from blood clot

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5
Q

What is embolic

A

Type of ischemic, blood clot from somewhere else in body and travels and gets stuck

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6
Q

What is embolus?

A

Moving particle often from the heart, that breaks off, travels and gets lodged

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7
Q

What’s is tx for ischemic stroke

A

tPA (clot buster)

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8
Q

What is transient ischemic attack?

A

Temporary mini stroke, usually resolved within one hour, no lasting damage, serious warning sign that you can have a stroke

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9
Q

What is a hemorrhagic stroke

A

Weakened blood vessel ruptures

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10
Q

What is intracerebral stroke

A

Blessing into brain tissue, type of hemorrhagic

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11
Q

What is subarachnoid

A

Bleeding into subarachnoid space

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12
Q

Tx for hemorrhagic

A

NO TPA

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13
Q

What are 2 motor impairments of stroke?

A

Hemiparesis and hemiplegia

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14
Q

What is paresis and plegia

A

Weakness, paralysis

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15
Q

What are functional impairments of stroke?

A

Loss of trunk and postural control
Inability to bear weight through affected leg
Impaired postural reactions and strategies

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16
Q

What is a subluxation of glenohumeral joint

A

Partial/incomplete dis location of shoulder joint

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17
Q

What causes subluxation of gelohumeral joint

A

Muscle weakness which affects pts ability to correctly position spine, trunk, arm in upright posture. Gravity brings arm down, overtime weight of unsupported arm causes humeral head to sublux down. Also spasticity can cause it

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18
Q

What are 2 UE impairments that stroke causes

A

Gelohumeral joint subluxation
Low tone which results in abnormal skeletal muscles

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19
Q

What are communication impairments of stroke?

A

Global aphasia (loss of all language ability)
Brocas aphasia (broken speech-expressive)
Wernickes aphasia (issues with comprehension) fluent non sesnsical speech
Anomic aphasia (trouble finding words) (example apple)
Dysarthria- disorder of articulation, weakness in muscles used for speech

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20
Q

What is spatial relations

A

Knowing where objects in space are

21
Q

Spatial neglect

A

Inability to respond to stimuli, typically in contralateral side (typically with left side from right CVA)

22
Q

Body neglect

A

Patient neglects body on contralateral side

23
Q

Form constancy

A

Ability to identify object despite variations from the norm.

24
Q

Figure ground discrimination

A

Ability to perceive foreground from background. Ex: find scissors in utensil drawer

25
Q

Visual closure

A

Ability to identify partially covered or missing object

26
Q

Visual agnosia

A

Unable to identify objects by looking at it despite having Normal visual foundation skills. Can’t recognize it

27
Q

What does agnosia mean

A

A-without
Gnosia- knowledge

28
Q

Color agnosia

A

Inability to recognize colors

29
Q

Tactile agnosia

A

Inability to recognize object by touch without visual cues. Ex: reaching in purse to grab item, can recognize it

30
Q

Somatoagnosia

A

Inability to recognize own body parts. Example: putting arm through pants

31
Q

Prosopagnosia

A

Inability to recognize faces
PROSO (person)

32
Q

Anosognosia

A

Lack of understanding or awareness of deficits/disease

33
Q

Initiation

A

Cognitive impairment of CVA
Initiating task or movement

34
Q

Attention

A

Ability to maintain focus

35
Q

Organizing

A

Ability to arrange into order, ability to organize in order to perform task efficiently

36
Q

Sequencing

A

Completing a task in necessary order

37
Q

Problem solving

A

ability to come up with solutions

38
Q

What do we need to do in order to compete a task?

A

Initiation
Attention
Organization
Sequencing
Problem solving

39
Q

Apraxia

A

Difficulty completing planned movement

40
Q

Ideational apraxia

A

No idea or concept of what to do
Example using fork to comb hair

41
Q

Ideomotor apraxia

A

Difficulty performing on verbal command

42
Q

Constructional apraxia

A

Difficulty putting together pieces to create 2-3 dimensional whole

43
Q

Homonymous hemianopia

A

Visual deficit *MC visual field loss, CVA MC cause
Loss of visual field on same side for both eyes
Ex: patient loses left side in both eyes

44
Q

Saccades

A

Rapid eye movement from one point to another

45
Q

Smooth pursuit

A

Slow, smooth tracking movement of the eye

46
Q

Vergence

A

Tracking an object as it moves closer (convergence) or away (divergence) from you
“Emergence”

47
Q

Accommodation

A

Ability to maintain and change focus of objects at different disorders

48
Q

Fixation

A

Ability to maintain focus of your gaze steadily

49
Q

what does FAST stand for

A

F: facial drooping
A: arm weakness (arm drift)
S: speech difficulties
T: time to call 911