dr. evelyn chan. what is stroke? what is a tia?
TRANSCRIPT
Dr. Evelyn Chan
What is stroke?
What is a TIA?
What kind of stroke is it?
Can you tell which part of the brain is damaged?
Clinical examination
Different types of stroke
Different kinds of stroke:
TACI, Total anterior circulation infarctPACI, Partial anterior circulation infarctLACI, Lacunar infarctPOCI, Posterior circulation infarct
The Oxford Community Stroke Project classification , OCSP
What 3 components are present?
Define PACI
Give the clinical syndromes of a LACI.
What symptoms are classified under POCI?
What are the causes of ischaemic stroke?
What is a swallowing test?
1. What investigations to confirm the diagnosis? 2. What investigations to determine the stroke
mechanism? 3. How to risk stratify and prognosticate? 4. How to identify potentially treatable large
obstructive lesions of the cerebrovascular circulation?
Oxygen and Airway Support Adequate tissue oxygenation is imperative to prevent
hypoxia and potential worsening of the neurological injury
Observation Vital signs and GCS
What is GCS?
Mobilisation How and when to mobilise the patient?
Which antiplatelets to use?
How to treat recurrent ischaemic strokes?
How to treat cardioembolic strokes?
Statins
How to manage hypertension in acute stroke?
What are the causes of high BP in an acute stroke?
How and when do you treat hyperglycaemia?
Why treat?
How to manage?
Thank you