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stroke
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brain, carotid stenosis, x-ray, the left artery, carotid stenosis, x-ray, the right artery, stroke, brainstem function, cerebellum, function, circle of willis, left cerebral hemisphere, function, right cerebral hemisphere, function, endarterectomy, plaque buildup in arteries, cerebrovascular disease, cva, cerebral infarction, cerebral hemorrhage , a stroke, interruption, the blood supply to any part, the brain, a stroke is sometimes, a "brain attack", every 45 seconds, someone, in the united states has a stroke, a stroke, happen, a blood vessel carrying blood, brain is blocked by a blood clot, an ischemic stroke, a blood vessel breaks open, causing blood to leak, brain, hemmorhagic stroke, blood flow is stopped, longer than a few seconds, brain cannot get blood, oxygen, brain cells, die, causing permanent damage, ischemic stroke, the most common type of stroke, this type of stroke results from clogged arteries, a condition, atherosclerosis, stroke secondary to atherosclerosis, fatty deposits, blood platelets collect on the wall, the arteries, forming a sticky substance, plaque, over time, plaque builds up, plaque causes, blood to flow abnormally, cause the blood to clot, two types of clots, a clot that stays in place, in the brain, a cerebral thrombus, a clot that breaks loose, moves, the bloodstream, brain is called an cerebral embolism, another important cause of cerebral embolisms is a type of arrhythmia, atrial fibrillation, of ischemic stroke include endocarditis and the use of a mechanical heart valve, a clot, form on the artificial valve, break off, travel, brain, mechanical heart valves must take blood thinners, hemorrhagic stroke,
a second major cause of stroke is bleeding, in the brain hemorrhagic stroke, occur, small blood vessels, in the brain, become weak, burst, have defects, in the blood vessels, the brain that make this more likely, flow of blood, blood vessel ruptures damages brain cells, stroke risks,
high blood pressure, number one reason that might have a stroke, risk of stroke is also increased by age, family history of stroke, smoking, diabetes, high cholesterol, heart disease, certain medications increase the chances of clot formation, your chances, stroke, birth control pills, cause blood clots, especially in woman who smoke, older than 35, men have more strokes than women, women have a risk of stroke, pregnancy, weeks immediately after pregnancy, cocaine use, alcohol abuse, head injury, bleeding disorders increase the risk of bleeding, brain, stroke secondary to carotid dissection, bleeding, carotid arteries, stroke secondary to carotid stenosis, narrowing, the carotid arteries, stroke secondary to cocaine use, stroke secondary to fmd, fibromuscular dysplasia, stroke secondary to syphilis, hemorrhagic stroke, arteriovenous malformation, avm, symptoms of stroke depend on what part, the brain is damaged, not be aware that, has had a stroke, a sudden development of one, indicates a stroke, weakness, paralysis of an arm, leg, side, the face, numbness, tingling, decreased sensation, vision changes, slurred speech, inability to speak, understand speech, difficulty reading, writing, swallowing difficulties, drooling, loss of memory, vertigo, spinning sensation, loss of balance, coordination, personality changes, mood changes, depression, apathy, drowsiness, lethargy, loss of consciousness, uncontrollable eye movements, eyelid drooping, symptoms is present, less than 24 hours, a transient ischemic attack, tia, a tia, temporary loss of brain function, a warning sign, future stroke, in diagnosing a stroke, knowing how the symptoms developed is important, symptoms severe, beginning, the stroke, progress, fluctuate, the first day, two, stroke in evolution, no further deterioration, stroke, considered completed, exam, look, specific neurologic, motor, sensory deficits, correspond closely, location, the injury, in the brain, an examination, changes in vision, visual fields, abnormal reflexes, abnormal eye movements, muscle weakness, decreased sensation, a "bruit", an abnormal sound heard, the stethoscope, heard over the carotid arteries, the neck, signs of atrial fibrillation, the type, location, the stroke, to rule out other disorders that responsible, head ct, head mri, stroke was, bleeding, hemorrhage, lesions, to define the location, extent, the stroke, ecg, electrocardiogram, diagnose underlying heart disorders, echocardiogram, used cause an embolus, blood clot, heart, carotid duplex, a type of ultrasound, used cause carotid artery stenosis, narrowing, the major blood vessels supplying blood, brain, heart monitor, worn, in the hospital, an outpatient, a heart arrhythmia, atrial fibrillation, stroke, cerebral, head, angiography, done so that the doctor, identify the blood vessel responsible, the stroke, mainly used, suregery, blood work, exclude immune conditions, abnormal clotting, the blood, lead to clot formation, a stroke, medical emergency, physicians have begun to call it a "brain attack" to stress that getting treatment, save lives, reduce disability, depending on the severity, the stroke, virtually all strokes, hospitalization, intensive care, life support, goal, get the person, is having a bleeding stroke, a stroke, a blood clot, start therapy, all, 3 hours of, the stroke began, immediate treatment,
thrombolytic medicine, tpa, breaks up blood clots, restore blood flow, damaged area, people who receive this medicine, more likely to have less long-term impairment, strict criteria, receive thrombolytics, most important, the person be evaluated, treated by a specialized stroke team, 3 hours of, the symptoms start, stroke, bleeding rather than clotting, make the damage worse, care is needed to diagnose the cause, giving treatment, in other circumstances, blood thinners heparin, coumadin, treat strokes, aspirin, anti-platelet agents used, medications needed to control associated symptoms, analgesics, pain killers, needed to control severe headache, anti-hypertensive medication needed to control high blood pressure, nutrients, fluids necessary, person has swallowing difficulties, nutrients, fluids given, an intravenous tube, iv, a feeding tube, in the stomach, gastrostomy tube, swallowing difficulties temporary, permanent, hemorrhagic stroke, surgery, required to remove pooled blood, brain, repair damaged blood vessels, life support, coma treatment, long-term treatment,
goal of long-term treatment, recover, function, prevent future strokes, depending on the symptoms, rehabilitation includes speech therapy, occupational therapy, physical therapy, recovery time differs, from person to person, certain therapies, repositioning, range-of-motion exercises, intended, prevent complications related to stroke, infections, bed sores, people should stay active, physical limitations, urinary catheterization, bladder/bowel control programs necessary to control incontinence, person's safety must be considered, stroke appear to have no awareness of surroundings on the affected side, others show indifference, lack of judgment, increases the need, safety precautions, people, friends, family members should repeatedly reinforce important information, where they live, person stay oriented, caregivers, the person pictures, repeatedly demonstrate how to perform tasks, use other communication strategies, depending on the type, extent, the language problems, in-home care, boarding homes, adult day care, convalescent homes required, a safe environment, control aggressive, agitated behavior, meet medical needs, behavior modification helpful, people in controlling unacceptable, dangerous behaviors, family counseling, help in coping, the changes required, home care, visiting nurses, aides, volunteer services, homemakers, adult protective services, community resources helpful, legal advice appropriate, advance directives, power of attorney, legal actions, make it easier to make ethical decisions regarding the care of a person who has had a stroke, carotid endarterectomy, removal of plaque, carotid arteries, prevent new strokes from occurring, large blockage in these important blood vessels,
additional support, american stroke association, toll-free phone line, stroke survivors, caregivers is 1-888-4stroke, long-term outcome, a stroke depends on the extent of damage, brain, presence of any associated medical problems, likelihood of recurring strokes, who survive a stroke, many have long-term disabilities, 10% of those, had a stroke recover most, all function, fifty percent, able to be at home, medical assistance 40%, become residents of a long-term care facility, a nursing home, due to loss of mobility, joint contractures, pressure sores, permanent loss of movement, sensation of a part, bone fractures, muscle spasticity, permanent loss of brain functions, reduced communication, social interaction, reduced ability to function, care, self, decreased life span, side effects of medications, aspiration, malnutrition, call local emergency number, someone has symptoms of a stroke, stroke, immediate treatment, prevent a stroke, get screened, high blood pressure at least every two years, family history of high blood pressure, have cholesterol checked, treat high blood pressure, diabetes, high cholesterol, heart disease, follow a low-fat diet, quit smoking, exercise regularly, lose weight, overweight, excessive alcohol use, no more than 1 to 2 drinks per day, tia, stroke, currently have a heart arrhythmia, atrial fibrillation, mechanical heart valve, congestive heart failure, risk factors, stroke, have take aspirin, blood thinners, make sure follow doctor's instructions, take the medication, prevent bleeding strokes, take steps to avoid falls, injuries,
american heart association, heart disease, stroke statistics, - 2005 update, dallas, texas, american heart association, marx ja, hockberger rs, walls rm, eds, rosen's emergency medicine, concepts, clinical practice, 5th ed, mosby, goldman l, ausiello d, eds, cecil textbook of medicine, 22nd ed, philadelphia, pa, saunders, 2004.
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