Stroke Pleno
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*Fundamental of Biomedic Science VI
Stroke
Kemlompok 6
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Chief complainA 59 y.o woman was admitted to ER because decrease of conscious while she had gardening*Topic discussionCase review
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Past history Her son said that she complaint sudden headache and weakness of the right arm and leg 30 minutes before. Accompanied by nausea, vomiting, trouble speaking and asymetry face.*Topic discussionCase review
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Physical examinationOn PE it was found that soporus, neck stiffness in the posterior neck. Vital sign showed very high BP, with increased pulse and normal respiratory rate*Topic discussionCase review
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Physical examinationOn neurological examination revealed positive meningeal sign, muscle weakness sensation of right arm and leg. Also increasing physiologic reflex*Topic discussionCase review
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Physical examinationCT scan showed hemorrhage on subaracnoid space ventricle space and intracerebral space, with aneurysm on aterior communicating artery*Topic discussionCase review
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Diagnose Stroke *Topic discussionCase review
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*Patomechanism
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Mind map *Topic discussionCase review
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Meninges *
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Ventricle system 2 ventricles between two hemisphere3rd ventricle4th ventricle*
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CSF*
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Neuron and neuroglia *
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Vasculature of the brain*
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Cerebrum *Gray matterWhite matterOther structureHistology
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Cerebrum *Gray matterWhite matterOther structureHistology
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Cerebrum *Gray matterWhite matterOther structureHistology
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Cerebrum *Gray matterWhite matterOther structureHistology
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Cerebellum *Structure HemisphereLobes Vermis Floculonodular
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Cerebellum *Permukaan Superficial foliaDeep layer arbor vitae
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Cerebellum *Nuclei Dentate EmboliformGloboseFastigial
FibersIntrinsic fibersAfferent fibersEfferent fibers
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Cerebellum *
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Dienecephalon *ThalamusSubthalamusEpithalamus Hipothalamus
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Brainstem *Medulla oblongata PonsMidbrain
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Spinal cord *EnlargementCervical Lumbar Medullary coneCuada equinaTerminal filum
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Spinal cord *
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Somatic Sensory Pathway*Neuron : First oerder neuron Second order neuron Third order neuron Pathway : Posterior colum medial lemnicus pathwayGracile fassiculusCuneate fassiculusAnterolateral pathwayTrigeminothalmic pathway
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Somatic Motor Pathway*Neuron : Upper motor neuron (UMN)Lower motor neuron (LMN)Pathway : Direct Corticospinal pathwayCorticobulbar pathwayIndirect
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BHP dan IIMCBHPPenanganan faktor resiko yang dapat diubah :Pengurangan konsumsi garam (makanan asin)Penguranfan konsumsi gula (makanan manis)Fisioterapi :Speech therapy (terapi wicara)Occupational therapy yang bertujuan untuk mengembalikan fungsi kehidupan sehari-hari misalnya mandi, makan, ganti baju, dll)Pencegahan stroke ulang.IIMC
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