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Flashcards in Neuro Deck (162)
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1

primary vs secondary HA

primary HAs are recurrent and benign. Secondary is new onset and life threatening

2

What HA is frequency and bilateral and most common HA

tension HA

3

What HA is unilateral, aura, recurrent, associated with periods.

migraine

4

You are thinking migraine, but you find focal neurological findings, what must be ruled out?

stroke

5

patient can't stay still, male patient, horrible pain, tearing, sweating, ptosis and miosis, all symptoms are unilateral, what type of HA

Cluster

6

thunder clamp HA

subarachnoid

7

tx for HA

dopamine agonist (

8

route to giving medications for HA

IV is faster than IM, IM is faster than oral

9

treat for HA

O2(higher concentration the better) or intranasal lidocaine

10

HA preventions

Antidepressants, anticonvulsants, Antihypertensives

11

Ischemic stroke is what color on CT

black

12

hemorrhagic stroke is what color on CT

white

13

What type of stroke is known for headache?

hemorrhagic

14

sudden onset of L arm, what artery

right side middle cerebral artery

15

sudden onset of L leg, what artery

right side anterior cerebral artery

16

treatment for hemorrhagic stroke

ABC, lower BP, reverse anticoagulopathy, Lower ICP.

17

how do you lower ICP with hemorrhagic stroke

mannitol, hyperventilation, burr hole

18

ischemic stroke management

ABC, Fibrinolysis (break up clots), Lower ICP

19

general stroke management (ischemic)

head of bed at 30 degrees, NPO, bed rails up, ASA, (allow BP to be a little high in ischemic stroke), no hypotonic fluids, control fever, control blood sugar, stop from getting blood clots.

20

what are the five Ds of a posterior stroke?

Dizziness (vertigo)
- Diplopia
- Dysarthria
- Dysphagia
- Dysmetria

21

one side of the face and the opposite side of the body if affects. where is the stroke?

posterior circulation / vertebral/basilar system

22

A patient presents with the ability to produce fluent speech, though the words and sentence structures do not make sense. In which of the following areas of the brain is the defect occurring?

Wernicke’s aphasia (’Receptive aphasia’) occurs when the area of the brain that organizes speech is affected. The patient retains the ability to produce speech, but is unable to organize it into comprehensive language.

23

patient presents with loss of the left visual field in each eye. What is the most likely location for the lesion

Lesions in the right optic tract will cause a left homonymous hemianopsia.

24

most common cause of subarachnoid hemorrhage

aneurysm due to HTN

25

worse/different headache of life, presented with syncope

subarachnoid hemorrhage

26

get a sentinel headache (initial) than get better

subarachnoid hemorrhage

27

how do you dx subarachnoid hemorrhage

CT (if negative use LP there will be blood) if either is positive =surgery

28

what level of spine is LP done

L2 (b/c cord ends)

29

xanthochromia

bright red blood cells in CF, positive for subarachnoid hemorrhage

30

tx of subarachnoid hemorrhage

control: pain, bp, reverse blood thinners, control seizures. Bleed blocks CF drainage can cause hydrocephalus