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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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Dr. Evelyn Chan Acute Ischaemic Stroke
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 PACI, Partial anterior circulation infarct LACI, Lacunar infarct POCI, Posterior circulation infarct The Oxford Community Stroke Project classification , OCSP
What 3 components are present? TACITotal Anterior Circulation Infarct
Define PACI PACIPartial Anterior Circulation Infarct
Give the clinical syndromes of a LACI. LACI Lacunar Anterior Circulation Infarct
What symptoms are classified under POCI? POCI Posterior circulation Infarct
What is a swallowing test? Swallowing Test
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
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
Mobilisation How and when to mobilise the patient?
Which antiplatelets to use? Antiplatelet agents
How to treat recurrent ischaemic strokes? How to treat cardioembolic strokes?
Statins Lipid lowering therapy
How to manage hypertension in acute stroke? Hypertension
How and when do you treat hyperglycaemia? Why treat? Hyperglycaemia
How to manage? Raised intracranial pressure: