Term
| Cerebellar stroke imaging |
|
Definition
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Term
| Subdural hematoma test of choice |
|
Definition
Lp will show RBc
MRI ct may miss |
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|
Term
| Atrial enlargement on EKG |
|
Definition
II and V1
P wave will be large |
|
|
Term
| Hi K will show what on EKG |
|
Definition
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Term
|
Definition
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Term
| Bp management in ischemic stroke |
|
Definition
1. Goal is less than 185/110 before u can give tpa
2. Can use labetolol nicardipine and nitroprusside to get it down |
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|
Term
| Why check glucose on pt with suspected stroke? |
|
Definition
Hypoglycemia can mimic stroke
Hyperglycemia is commonly found in pt with stroke and it worsens the prognosis if not corrected |
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Term
| Immediate lab studies in stroke pt |
|
Definition
#1noncontrast ct or MRI
Glucose
O2 sat
EKg
Cardiac enzymes
CBC and bmp
Pt/ inr |
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Term
| Management of suspected ischemic stroke |
|
Definition
1. Do all the initial lab studies
2. Tpa
3. Asa
4. Dvt prophy
5. Statin
6. Bp management
7. Neuro check
8. Echo (check a fib) |
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Term
| Manage hemorrhagic stroke 2/2 warfarin |
|
Definition
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Term
| Management if hemorrhagic stroke in pt on heparin |
|
Definition
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Term
| When do we do surgery in pt with hemorrhagic stroke |
|
Definition
When in cerebellum and > 3cm
No clear indication if supratentorial but can still be done in special cases |
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|
Term
| Special things to consider in management of pt with hemorrhagic stroke vs ischemic |
|
Definition
In hemorrhagic:
1. Reverse effects of anticoagulant if pt is on them
2. Seizure prophy with phenytoin
3. If intraventricular bleed May need shunt
4. Give saline
5. Manage ICP with mannitol or barbiturates |
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|
Term
|
Definition
| Test for anti phospholipid syndrome |
|
|
Term
| Major features of anti phospholipid syndrome |
|
Definition
Seen in pt with sle
Pts have cva at young age and pregnancy morbidity |
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