Utility of cardiac telemetry and echocardiogram with bubble study
cardiac telemetry = a fib (L sided clot -> embolus and stroke). Echo with bubble study - checking for PFO (clot on R side -> L side heart -> stroke)
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15
WHO's WHO - I learned only a few years ago due to a rude awakening moment that pink lemonade was not actually made from pink lemons
Sulaiman
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15
What is the utility of a non-contrast CT in stroke management?
Rule out hemorrhage - contraindication for tPA
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15
Discuss mechanisms underlying neuronal injury during ischemic stroke
Deprivation of ATP in cells -> dysfunction of Na/K ATPase -> build up of Na draws in water -> cytotoxic edema & inflammation; excitotoxicity (glutamate)
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15
Moving home from college, I had a suitcase with all my clothes. When I picked it up from baggage claim, one of the zippers broke from the pocket with all of my underwear. I looked inside and someone had stuffed all of my underwear back in
Alexa
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15
Mr. Clooney had RUE and LUE paresis and LUE and LLE intact on neuro exam. What side of the brain was the stroke?
Left! Contralateral side affected
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15
I took French in middle school. We were tasked to write a short story in English and then translate to French and present to the class. I read the English version with a French accent by mistake
Alyssa
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10
What does the acronym FAST stand for?
Facial drooping; arm weakness; speech difficulties; time
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trap
No points!
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seesaw
Swap points!
Okay!
fairy
Take points!
5
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20
25
banana
Go to last place!
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15
Damage from ischemic stroke depends on
location and time!
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heart
Other team wins 25 points!
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seesaw
Swap points!
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shark
Other team loses 20 points!
Okay!
thief
Give points!
5
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25
baam
Lose 25 points!
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seesaw
Swap points!
Okay!
gift
Win 15 points!
Okay!
banana
Go to last place!
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20
Discuss waiting to re-start lisinopril despite Mr. Clooney's BP remaining elevated
Permissive HTN. Increased BP has better chance of getting blood through narrow blood vessels (he has stenosis of MCA)
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15
What is the meaning of "Time is brain...save the penumbra!"
Penumbra = area surrounding the ischemic event. If blood flow is restored quickly enough after a stroke, the penumbra can be preserved by collateral circulation
