Ischemic stroke | Baamboozle - Baamboozle | The Most Fun Classroom Games!

thief

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Take 15 points!

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gift

Win 20 points!

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banana

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Diagnosis? tPA administration if this was taken within 3 hours of arrival?

Acute left MCA distribution hemorrhagic infarction. NO! contraindicated with hemorrhage.

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baam

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Take 25 points!

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shark

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lifesaver

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DISCUSS immediate stroke management (not prevention/long term management)

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Contraindications for tPA use

Recent ischemic stroke; GI malignancy or recent bleed; severe uncontrolled hypertension; nondisabling minor stroke (NIHSS <5)

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Define ischemic stroke

cerebral infarction due to insufficient cerebral blood flow, resulting in ischemia and neuronal injury

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Discuss the types of ischemic strokes

1. embolic (20%); 2. thrombotic (40%); 3. Global hypoxia (i.e. cardiogenic shock)

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banana

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fairy

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gift

Win 15 points!

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lifesaver

Give 25 points!

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Relate risk factors to pathogenesis of ischemic stroke

Smoking = toxin in tobacco damages endothelium -> atherosclerosis -> plaque obstructs arterial blood flow -> thrombotic stroke;

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Why is it important to order a CT prior to full clinical evaluation in a suspected stroke patient?

Time is brain... save the penumbra! - Dr. West

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WHO's WHO - I wore heels toa first date and the parking lot was dark and I stepped in a hole and fell down and tore my jeans and showed up to my first date with a skinned knee

Kristen

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What does the acronym FAST stand for?

Facial drooping; arm weakness; speech difficulties; time

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Describe the utility and components of NIH stroke scale

0 = no stroke; 1-4 minor; 5-15 moderate; 16-20 moderate-severe; 21-42 severe

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Diagnosis? tPA administration if within 75 minutes?

Acute MCA infarct

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Discuss prognosis & quality of life after stroke

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What is the utility of a non-contrast CT in stroke management?

Rule out hemorrhage - contraindication for tPA

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