Flashcards in stroke osce Deck (23)
what is a stroke?
focal global disturbance of cerebral function lasting more than 24 hours, with no other apparent causes other than vascular origin
AF, heart failure, HTN, diabetes, MI
infarction make up what percentage ?
haemorrhage make up what percentage
most haemorrhagic strokes due to ?
rupture of berry aneurysm
what are berry aneurysms associated with?
polycystic kidney disease
how does a stroke present?
sudden (over minutes)
quick, easy way of recognising a stroke advertised to public?
what examination should you do?
Pulse (rate ad rythym)
heart murmurs and bruits
assess conscious level
differential for a stroke?
space occupying lesion, trauma, epilepsy, migraine
where should patients suspected of having a stroke be admitted to ?
specialised stroke unit
aftercare of a stroke?
secondary care, psychosocial issues, aids and appliances,
seondary prevention of ischaemic stroke
given drugs to reduce change of having another stroke
in particular, lower blood pressure, statin to keep cholesterol down, possible carotid endarectomy
if in AF - anticoagulation
what should all patients have within a week?
carotid imaging and offered endarectomy if necessary
TIA defintion ?
focal or global disturbance lasting less than 24 hours
risk scoring for TIA?
what does ABCD2 stand for?
a patient is at high risk if ABCD2 score of?
4 or more
if they have an ABCDD score of more than 4, what management should they get?
should get specialist assessment within 24 hours
if lower ABCD2 score, what should you do?
specialist assessment within a week
investigations for stroke?
when do you start secondary prevention?
once haemorrhagic has been ruled out