medical diagnosis of stroke.pptx
TRANSCRIPT
-
7/28/2019 Medical diagnosis of stroke.pptx
1/23
-
7/28/2019 Medical diagnosis of stroke.pptx
2/23
-
7/28/2019 Medical diagnosis of stroke.pptx
3/23
-
7/28/2019 Medical diagnosis of stroke.pptx
4/23
History profiling the timing of neurological eventsfrom the patient or family member.
first ask the patient or a companion what happenedand when the possible stroke symptoms began.
Of particular importance are the pattern of onsetand course of initial neurological symptoms.
http://stroke.emedtv.com/stroke/stroke-symptoms.htmlhttp://stroke.emedtv.com/stroke/stroke-symptoms.html -
7/28/2019 Medical diagnosis of stroke.pptx
5/23
-
7/28/2019 Medical diagnosis of stroke.pptx
6/23
Episodes of transient ischemic attack (TIAor "mini-stroke")
Head trauma Presence of major and minor risk factors
High blood pressure (hypertension)
Diabetes.
Carotid artery stenosis
Cardiac conditions
http://stroke.emedtv.com/transient-ischemic-attack/transient-ischemic-attack.htmlhttp://stroke.emedtv.com/stroke/tias.htmlhttp://stroke.emedtv.com/stroke/mini-strokes.htmlhttp://stroke.emedtv.com/stroke/mini-strokes.htmlhttp://blood-pressure.emedtv.com/high-blood-pressure/high-blood-pressure.htmlhttp://hypertension.emedtv.com/hypertension/hypertension.htmlhttp://diabetes.emedtv.com/diabetes/diabetes.htmlhttp://diabetes.emedtv.com/diabetes/diabetes.htmlhttp://hypertension.emedtv.com/hypertension/hypertension.htmlhttp://blood-pressure.emedtv.com/high-blood-pressure/high-blood-pressure.htmlhttp://stroke.emedtv.com/stroke/mini-strokes.htmlhttp://stroke.emedtv.com/stroke/mini-strokes.htmlhttp://stroke.emedtv.com/stroke/mini-strokes.htmlhttp://stroke.emedtv.com/stroke/tias.htmlhttp://stroke.emedtv.com/transient-ischemic-attack/transient-ischemic-attack.html -
7/28/2019 Medical diagnosis of stroke.pptx
7/23
Includes general medical examination as well asneurological examination.
Investigation of vital signs and signs of cardiacdecompression is essential.
neurological examination stresses functions of
cerebral hemisphere, cerebellum, cranial nerves, eyesand sensorimotor system.
-
7/28/2019 Medical diagnosis of stroke.pptx
8/23
Presenting symptoms will help to determine thelocation of the lesion, and comparison of both sides ofthe body reveal side of the lesion.
Bilateral signs are suggestive of brain stem lesion ormassive cerebral involvement.
-
7/28/2019 Medical diagnosis of stroke.pptx
9/23
Neck flexion
Meningeal irritation secondary to subarachnoidhemorrhage produce resistance and pain with neck
flexion. Palpation of arteries
Both superficial and deep arteries are palpatedincluding temporal, facial, carotid, subclavian,
brachial, radial, abdominal, aorta and lower extremityarteries.
-
7/28/2019 Medical diagnosis of stroke.pptx
10/23
-
7/28/2019 Medical diagnosis of stroke.pptx
11/23
Auscultation of heart and blood vessels
Abnormal heart sounds, murmur, or bruits may bepresent and indicate increased flow turbulence andstenosis in vessel.
Ophthalmic pressure
abnormal pressure in the ophthalmic artery indicates
problem in the internal carotid artery.
-
7/28/2019 Medical diagnosis of stroke.pptx
12/23
-
7/28/2019 Medical diagnosis of stroke.pptx
13/23
1) Urinalysis
2) Blood analysis
3) Fasting blood glucose level
4) Blood chemistry profile5) Blood cholesterol and lipid profile
6) Thyroid function test
7) Full cardiac evaluation
8) Echocardiography
9) Lumbar puncture
-
7/28/2019 Medical diagnosis of stroke.pptx
14/23
-
7/28/2019 Medical diagnosis of stroke.pptx
15/23
CT
MRI
PET (position emission tomography)
Transcranial and carotid Doppler Cerebral angiography
-
7/28/2019 Medical diagnosis of stroke.pptx
16/23
The first priority will be to determine ischemic orhemorrhagic stroke.
This distinction is critical because the medicine givenfor an ischemic stroke (caused by a blood clot) couldbe life-threatening if the stroke is hemorrhagic(caused by bleeding).
-
7/28/2019 Medical diagnosis of stroke.pptx
17/23
The first test after a stroke is typically a computedtomography (CT) scan of the brain
which is a series of X-rays of your brain that can showwhether there is bleeding. This test will help yourdoctor diagnose whether the stroke is ischemic orhemorrhagic.
Magnetic resonance imaging (MRI) may also be done
to find out the amount of damage to the brain andhelp predict recovery.
-
7/28/2019 Medical diagnosis of stroke.pptx
18/23
-
7/28/2019 Medical diagnosis of stroke.pptx
19/23
-
7/28/2019 Medical diagnosis of stroke.pptx
20/23
-
7/28/2019 Medical diagnosis of stroke.pptx
21/23
-
7/28/2019 Medical diagnosis of stroke.pptx
22/23
-
7/28/2019 Medical diagnosis of stroke.pptx
23/23