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Flashcards in stroke osce Deck (23)
1

what is a stroke?

focal global disturbance of cerebral function lasting more than 24 hours, with no other apparent causes other than vascular origin

2

risk factors?

AF, heart failure, HTN, diabetes, MI

3

infarction make up what percentage ?

85%

4

haemorrhage make up what percentage

15

5

most haemorrhagic strokes due to ?

rupture of berry aneurysm

6

what are berry aneurysms associated with?

polycystic kidney disease

7

how does a stroke present?

sudden (over minutes)

8

quick, easy way of recognising a stroke advertised to public?

FAST
face
arms
speech
time

9

what examination should you do?

Pulse (rate ad rythym)
BP
heart murmurs and bruits
assess conscious level
exclude hypo

10

differential for a stroke?

space occupying lesion, trauma, epilepsy, migraine

11

where should patients suspected of having a stroke be admitted to ?

specialised stroke unit

12

aftercare of a stroke?

secondary care, psychosocial issues, aids and appliances,

13

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

14

what should all patients have within a week?

carotid imaging and offered endarectomy if necessary

15

TIA defintion ?

focal or global disturbance lasting less than 24 hours

16

risk scoring for TIA?

ABCD2

17

what does ABCD2 stand for?

age
blood pressure
clinical features
diabetes
duration

18

a patient is at high risk if ABCD2 score of?

4 or more

19

if they have an ABCDD score of more than 4, what management should they get?

should get specialist assessment within 24 hours

20

if lower ABCD2 score, what should you do?

specialist assessment within a week

21

investigations for stroke?

bloods
ecg
echo
brain imaging
carotid dopplers

22

when do you start secondary prevention?

once haemorrhagic has been ruled out

23

what is given as secondary prevention ?

aspirin
start anti coagulation if identified potential causes of thromboemboli