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Stroke (Signs (Unilateral sensory loss of upper and/or lower limb - MCA or…
Stroke
Signs
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Speech problems e.g. dysphasia - MCA, dominant hemisphere
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Pointers to bleeding = meningism, severe headache, coma
Pointers to ischaemia = carotid bruit, AF, past TIA, IHD
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Investigations
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FAST - face, arms, speech, time
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Epidemiology
In the UK, someone has a stroke every 3.5 minutes
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Treatment
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Acute Management
Maintain homeostasis: blood glucose, BP, ECG
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Types
Ischaemic Stroke
Usually an atherosclerotic plaque or clot in a larger artery ruptures, travels downstream and gets trapped in a narrower artery in the brain
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Caused by MI, AF, prosthetic valves, endocarditis, atherothromboembolism
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Haemorrhagic Stroke
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Other causes: trauma, aneurysm rupture, anticoagulation, thrombolysis
Definition
Rapid onset of focal CNS symptoms that results from ischaemic infarction or haemorrhage into the brain