Affected vessels
The vessel which causes contralateral paresis and sensory loss in the face and arms; contralateral homonymous hemianopsia
What is the MCA?
Name of calculation we use to determine atrial fibrillation stroke risk
CHA₂DS₂-VASc
What does BE FAST stand for?
Balance Issues
Eye sight changes
Face Drooping
Arm weakness
Speech Difficulty
Time to call 911
Alcohol withdrawal syndrome (uncomplicated) - occurs how many hours after last drink? What are some symptoms associated with this?
6-24 hours
Palpitations, sweating, tachycardia, elevated blood pressure, hyperthermia
Anxiety, insomnia
Tremor
Headaches
nausea, vomiting
Vessel which causes contralateral paresis and sensory loss in the leg.
What is the ACA?
Lab you obtain if you suspect temporal arteritis? What do you immediately treat with?
ESR to test. Corticosteroids to prevent further visual loss
What is the difference between a stroke and TIA?
A TIA is a temporary, focal cerebral ischemia; without acute infarction or permanent loss of function, lasting < 24 hours
Alcoholic hallucinosis typically occurs how many hours after last drink?
12-24 hours.
Consciousness is usually intact.
Vital signs may be normal.
Auditory and/or visual hallucinations are common; tactile hallucinations are also possible
Delusions
Vessel associated with contralateral homonymous hemianopia w/ macular sparing.
What is PCA!?
Surgery for symptomatic patients with >60% stenosis or asymptomatic pts w/ >70%
Carotid endarterectomy
Every 40 seconds, someone in the United States has a stroke. Every 3 minutes and 11 seconds, someone dies of stroke in this country.
Delerium tremens occurs how many hours after last drink? How is it described?
Usually occurs 72-96 hours after last drink. Characterized by persistent alteration of consciousness and sympathetic hyperactivity due to alcohol withdrawal. May be lethal.
Name of vessel that when dissected can cause sudden HA, neck pain, and Horner syndrome
What is carotid artery dissection?
What is the MOA of plavix?
Irreversibly inhibiting the P2Y12 receptor on platelets
How many brain cells die every minute during stroke?
Two million brain cells die every minute during stroke, increasing risk of permanent brain damage, disability or death.
Alcohol withdrawal seizures typically occur how many hours after initial drink?
8-48 hours. Clinical features: tonic-clonic seziures
What syndrome/vessel that when affected can cause vertigo, nystagmus, and hiccups? Hint: it's medullary
What is Wallenberg syndrome/PICA?
How do you distinguish alcoholic hallucinosis from the hallucinations associated with delirium?
Patients with delirium usually have impaired consciousness and abnormal vital signs.