Show:
Stroke or not?
Brain Map
General Management
Imaging
Quick Facts
100
64M with longstanding HTN becomes "altered" at work as per coworker. On exam, patient's current blood pressure is 214/186. He is confused and has some obvious weakness in the R UE and LE.
What is hemorrhagic stroke?
100
A clot in this area of the brain can cause ataxia, vertigo, syncope, dysarthria and dysphagia
What is cerebellum?
100
goal SBP (range) for hemorrhagic stroke
What is SBP 140-180?
100
https://images.radiopaedia.org/images/3107644/0483673dc3050d10b009072de0ee72_big_gallery.jpg
What is subarachnoid hemorrhage?
100
Most common cause of intracerebral hemorrhage
What is hypertensive vasculopathy
200
68F with history of seizures presents with R sided weakness which started about 1 hour ago. Patient states this has happened to her before. Non-contrast CT is negative.
What is Todd's paralysis?
200
if occluded, most likely vessel to cause homonymous hemianopsia
What is PCA?
200
goal BP for 54M with ischemic stroke who has an INR of 2.2
What is BP <220/120?
200
https://images.radiopaedia.org/images/5579427/383f6b19c4a4a3a9da48eafdae8f0b_big_gallery.jpg
What is ischemic stroke?
200
this electrolyte abnormality can mimic strokes and should be assessed immediately so you don't look like an idiot
What is glucose?
300
67-year-old man with a history of hypertension and diabetes mellitus presents to the emergency department with sudden onset left leg weakness. His examination is notable for 3/5 strength in his left lower extremity as well as diminished sensation to temperature and light touch. this vessel is likely affected
What is right middle cerebral artery?
300
medications recommended to use for blood pressure control (we talked about two) and WHY?
What is nicardipine and labetalol? AND they are easily titratable
300
https://images.radiopaedia.org/images/446380/c094c6e1141c1d65cdd4fc4e41bd35_gallery.jpg
What is cerebellar hemorrhage?
300
this percentage of strokes are hemorrhagic
What is 15%?
400
73M with PMH DM, HTN, afib who presents with dizziness. On exam: pupils are pinpoint and minimally reactive, (+) right gaze presence, (+) right facial drooping noted, (+) right tongue deviation, (+) ⅖ strength in right arm, 5/5 strength in left arm, ⅗ strength in right leg, 5/5 strength in left leg; reflexes 2+ in upper extremities and 1+ in lower extremities; sensation decreased on the right; unable to cooperate for finger to nose, heel to shin, or rapid alternating movements; unable to test gait. Non-contrast CT negative. CTA ordered.
What is basilar artery aneurysm/rupture?
400
A 45-year-old female with a history of hypertension presents with a sudden onset severe headache, vomting and blurred vision. She denies any prior history of headaches. Her vital signs on arrival are 36.9°C, HR 100, BP 200/110, RR 22. CT of the head shows an acute hemorrhagic stroke. This area of the brain is most likely affected
What is cerebellum?
400
reason to give ASA for ischemic stroke
What is the decrease risk of early recurrent stroke?
400
https://images.radiopaedia.org/images/6805576/6c4333420919ffa6d001424cd44c3f_big_gallery.jpg
What is pontine hemorrhage?
400
most sensitive imaging modality for acute ischemic stroke
What is MRI?
500
37F with bipolar disorder who has a very lengthy list of medical problems presents with sudden onset R sided weakness. FS is 127. On exam, patient has 1/5 strength on RUE and RLE. She has slurred speech. Non-con head CT shows no hemorrhage. You administer TPA. Patient's Hgb drops...
What is Munchausen syndrome?
500
85F presenting with difficulty with speech. On exam, patient has 1/5 strength in RUE and RLE, decreased sensation on the R. She cannot identify simple objects.
What is L MCA?
500
reason why standard imaging in acute stroke is non-contrast head CT
What is to rule out other possible causes of patient's condition?
500
https://images.radiopaedia.org/images/3922/727ed334e18fa56fa3a0838698eec3_big_gallery.jpg
What is basal ganglion bleed?
500
calcium channel blocker given to patient with SAH to prevent secondary vasospasm and ischemia
What is nimodipine?