Neurology — Flashcards

Flashcard 691: Symptoms _____ completely resolve in patients who have had a TIA

Answer: will

Flashcard 692: _____ of brain tissue on CT head is suggestive of a ischaemic stroke

Answer: Hypoattenuation (darkness)

Flashcard 693: Initial medical management of all ischaemic strokes (once intracranial hemorrhage is ruled out): _____

Answer: Aspirin 300mg

Extra: - Dose: 300mg immediately (loading), followed by 75mg daily. - If the patient is being thrombolyzed (Alteplase), aspirin is withheld for 24 hours. - Secondary prevention usually transitions to Clopidogrel 75mg.

Flashcard 694: Patients with a history suggestive of a stroke should have what inital investigations to rule out main differentials? _____ & ECG

Answer: Blood glucose

Flashcard 695: Anticoagulants should not be restarted until _____ days since the onset of an ischaemic stroke

Answer: 14

Flashcard 696: Initial management of ischaemic stroke within 4.5 hours: 1. Priority intervention: _____ 2. Antiplatelet: Aspirin 300mg (delayed for 24 hours if thrombolysed) 3. Secondary prevention: High-intensity statin (after 48 hours)

Answer: Thrombolysis (e.g., Alteplase)

Extra: If thrombolysis is administered, aspirin must be withheld for 24 hours until a follow-up scan excludes intracranial hemorrhage. If the patient is not a candidate for thrombolysis, Aspirin 300mg should be given immediately.

Flashcard 697: First line investigation for stroke? _____

Answer: Non-contrast CT head

Flashcard 698: Previous intracranial haemorrhage, active bleeding, and uncontrolled HTN are all contraindications for _____

Answer: thrombolysis

Flashcard 699: What is the secondary prevention for ischaemic stroke? _____ & Statin

Answer: Clopidogrel

Flashcard 700: High intensity statins should be started _____ after an ischaemic stroke

Answer: 48 hours