Pleno Stroke

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CEREBROVASCULAR DISEASE

Kelompok 6


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Hemiparese Aphasia

Words Carification


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Explanation & Clarification

Anatomy & Physiology Etiology

Patophysiology Workup Complication


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Anatomy & Physiology

Carotid System Vertebral System


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Etiology Atrial fibrillation Diabetes Family history of stroke High cholesterol Increasing age, especially after age 55 Race (black people are more likely to die of a stroke) Being overweight or obese Drinking heavily Eating too much fat or salt

Smoking Taking cocaine and other illegal drugs


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Patophysiology

Ischemic stroke may happen in two ways: thrombotic stroke . embolic stroke .

Ischemic strokes may be caused by clogged arteries. Fat,cholesterol, and other substances collect on the artery walls,forming a sticky substance called plaque.


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A hemorrhagic stroke occurs when a blood vessel inpart of the brain becomes weak and bursts open,causing blood to leak into the brain:

Aneurysm Arteriovenous Malformation (AVM)

Patophysiology


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Workup

A stroke is a medical emergencyTreatment must begin within 3 hours of when the symptoms first started: CT scan must be done to see whether the stroke is from a clot or from

bleeding If blood clot occurred, thrombolytic therapy may be used If bleeding occurred, surgery is often needed to remove blood from

around the brain and to fix damaged blood vessels

The goal of treatment after a stroke is to help the patientrecover as much function as possible and prevent futurestrokes.


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Prognosis & Possible Complication The type of stroke:

ischemic stroke have a better chance of survivingthan those who have a hemorrhagic stroke

How much brain tissue is damaged

What body functions have been affected How quick the patient get treated:

The risk for a second stroke is highest during theweeks or months after the first stroke. Then the riskbegins to decrease

Complication:Falls, loss of mobility & movement, problemsspeaking, understanding, thinking or focusing


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Hypothesis


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Conclusion


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Refferences http://www.meddean.luc.edu/lumen/MedEd/neuro/neurovasc/navigation 19 Oct

2011 http://missinglink.ucsf.edu/lm/ids_104_cns_injury/response%20_to_injury/Water

shed.htm 19 Oct 2011 http://www.highlighthealth.com/wp-content/uploads/2008/01/cervicocerebral-

arteries.jpg 19 Oct 2011 http://medialibrary.stanford.edu/php/show_result.php?id=113 20 Oct 2011 http://www.heart-vessels.com/cardiovascular-diseases/stenosis-carotid-artery.php

20 Oct 2011 http://en.wikipedia.org/wiki/Posterior_cerebral_artery 20 Oct 2011 http://www.netterimages.com/image/1369.htm 20 Oct 2011 http://www.medicallecturenotes.com/2009/12/cerebrum-iii.html 20 Oct 2011 http://www.nlm.nih.gov/medlineplus/ency/article/000726.htm 26 Oct 2011 Harrisons Internal Medicine . 17 th Ed. Mc Graw Hill Harsono (Ed.). Kapita Selekta Neurologi. Edisi 2. FKUGM: 2009
http://www.meddean.luc.edu/lumen/MedEd/neuro/neurovasc/navigationhttp://missinglink.ucsf.edu/lm/ids_104_cns_injury/response%20_to_injury/Watershed.htmhttp://missinglink.ucsf.edu/lm/ids_104_cns_injury/response%20_to_injury/Watershed.htmhttp://www.highlighthealth.com/wp-content/uploads/2008/01/cervicocerebral-arteries.jpghttp://www.highlighthealth.com/wp-content/uploads/2008/01/cervicocerebral-arteries.jpghttp://medialibrary.stanford.edu/php/show_result.php?id=113http://www.heart-vessels.com/cardiovascular-diseases/stenosis-carotid-artery.phphttp://en.wikipedia.org/wiki/Posterior_cerebral_arteryhttp://www.netterimages.com/image/1369.htmhttp://www.medicallecturenotes.com/2009/12/cerebrum-iii.htmlhttp://www.nlm.nih.gov/medlineplus/ency/article/000726.htmhttp://www.nlm.nih.gov/medlineplus/ency/article/000726.htmhttp://www.medicallecturenotes.com/2009/12/cerebrum-iii.htmlhttp://www.medicallecturenotes.com/2009/12/cerebrum-iii.htmlhttp://www.medicallecturenotes.com/2009/12/cerebrum-iii.htmlhttp://www.netterimages.com/image/1369.htmhttp://en.wikipedia.org/wiki/Posterior_cerebral_arteryhttp://www.heart-vessels.com/cardiovascular-diseases/stenosis-carotid-artery.phphttp://www.heart-vessels.com/cardiovascular-diseases/stenosis-carotid-artery.phphttp://www.heart-vessels.com/cardiovascular-diseases/stenosis-carotid-artery.phphttp://www.heart-vessels.com/cardiovascular-diseases/stenosis-carotid-artery.phphttp://www.heart-vessels.com/cardiovascular-diseases/stenosis-carotid-artery.phphttp://www.heart-vessels.com/cardiovascular-diseases/stenosis-carotid-artery.phphttp://www.heart-vessels.com/cardiovascular-diseases/stenosis-carotid-artery.phphttp://www.heart-vessels.com/cardiovascular-diseases/stenosis-carotid-artery.phphttp://www.heart-vessels.com/cardiovascular-diseases/stenosis-carotid-artery.phphttp://medialibrary.stanford.edu/php/show_result.php?id=113http://www.highlighthealth.com/wp-content/uploads/2008/01/cervicocerebral-arteries.jpghttp://www.highlighthealth.com/wp-content/uploads/2008/01/cervicocerebral-arteries.jpghttp://www.highlighthealth.com/wp-content/uploads/2008/01/cervicocerebral-arteries.jpghttp://www.highlighthealth.com/wp-content/uploads/2008/01/cervicocerebral-arteries.jpghttp://www.highlighthealth.com/wp-content/uploads/2008/01/cervicocerebral-arteries.jpghttp://missinglink.ucsf.edu/lm/ids_104_cns_injury/response%20_to_injury/Watershed.htmhttp://missinglink.ucsf.edu/lm/ids_104_cns_injury/response%20_to_injury/Watershed.htmhttp://www.meddean.luc.edu/lumen/MedEd/neuro/neurovasc/navigation


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by : Nelson P.T.

Pleno Stroke

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