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Acute Ischaemic Stroke

Dr. Evelyn Chan. Acute Ischaemic Stroke. 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 infarct

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Acute Ischaemic Stroke

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  1. Dr. Evelyn Chan Acute Ischaemic Stroke

  2. What is stroke?

  3. What is a TIA?

  4. What kind of stroke is it?

  5. Can you tell which part of the brain is damaged? Clinical examination Different types of stroke

  6. Different kinds of stroke: TACI, Total anterior circulation infarct PACI, Partial anterior circulation infarct LACI, Lacunar infarct POCI, Posterior circulation infarct The Oxford Community Stroke Project classification , OCSP

  7. What 3 components are present? TACITotal Anterior Circulation Infarct

  8. Define PACI PACIPartial Anterior Circulation Infarct

  9. Give the clinical syndromes of a LACI. LACI Lacunar Anterior Circulation Infarct

  10. What symptoms are classified under POCI? POCI Posterior circulation Infarct

  11. What are the causes of ischaemic stroke?

  12. What is a swallowing test? Swallowing Test

  13. 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? Investigations

  14. 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? Management: general measures

  15. Mobilisation How and when to mobilise the patient?

  16. Which antiplatelets to use? Antiplatelet agents

  17. How to treat recurrent ischaemic strokes? How to treat cardioembolic strokes?

  18. Statins Lipid lowering therapy

  19. How to manage hypertension in acute stroke? Hypertension

  20. What are the causes of high BP in an acute stroke?

  21. How and when do you treat hyperglycaemia? Why treat? Hyperglycaemia

  22. How to manage? Raised intracranial pressure:

  23. Thank you

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