Bell's Palsy Correct Answer: causes cranial nerve 7 dysfunction
S/S of Bell's Palsy Correct Answer: Has forehead involvement (whereas a stroke does not affect forehead movement), facial weakness, inability to keep o
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Bell's Palsy Correct Answer: causes cranial nerve 7 dysfunction
S/S of Bell's Palsy Correct Answer: Has forehead involvement (whereas a stroke does not affect forehead movement), facial weakness, inability to keep one eye closed
Treatment for Bell's palsy Correct Answer: Prednisone 60mg x 5 days, Valcyclovir 1000mg TID x 7 days, artificial tears, lacri lube at night
When can I use tPA? Correct Answer: ischemic stroke presenting within <3 hrs and CT head negative
How do you treat high BP with stroke? Correct Answer: Nitroprusside (short half life, easy to titrate) or IV labetalol
What do you use for anticoagulation/antiplatelet therapy in stroke? Correct Answer: ASA (not in hemorrhagic), heparin for thrombosis
What do you do differently to treat hemorrhagic stroke? Correct Answer: Give prophylactic anticonvulsant like phenytoin because of increased seizure risk, antiplatelet therapy contraindicated
Types of Hemorrhagic Stroke Correct Answer: 1. Intracerebral (10%): results from rupture of small arterioles
2. Subarachnoid (3%): rupture of arterial aneurysms (hemorrhage into subarachnoid space)
Causes of Intracerebral hemorrhagic stroke are what? Correct Answer: HTN, amyloidosis, iatrogenic anticoagulation, vascular malformations, cocaine use
Causes of Subarachnoid hemorrhagic stroke are what? Correct Answer: berry aneurysm rupture, vascular malformation rupture
Signs and symptoms of Intracerebral hemorrhagic stroke are what? Correct Answer: ICP rises, vasoconstriction-sweating
Signs and symptoms of Subarachnoid hemorrhagic stroke are what? Correct Answer: may be preceded by warning headache, neck/back pain, "worst headache of my life," thunderclap, may have loss of consciousness
Treatment of Subarachnoid hemorrhage Correct Answer: surgery, control hypertension, analgesics
What is Complex regional pain sy
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