KU Etiology and Pathogenesis of The Types of Stroke Questions
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answer all questions in both Part A & Part B. All components of the Discussion
Question are required to be answered as a comprehensive discussion in your initial
post. Do not respond to each question/component individually.
Stroke
A stroke is an acute focal neurologic deficit from a vascular disorder that injures brain
tissue. Stroke is a leading cause of mortality and morbidity in the United States. The
term ‘brain attack’ has been promoted to raise awareness that time-dependent tissue
damage in the brain occurs, and that rapid emergency treatment is necessary, similar to
that of a heart attack. You may see this term in your research of current literature.
Part A. Explain the two main types of stroke.
Discuss the etiology and pathogenesis of each type of stroke
Discuss the clinical manifestations and the risk factors of each type of stroke
Determine which diagnostic tests would determine each type of stroke? Please explain.
Explain the reasoning and rationales of why the timely diagnosis and treatment of stroke is
imperative
Discuss the treatment goals of stroke and stroke care
What are the indications for the administration of intravenous tissue plasminogen activator (tPA)?
Please explain.
Part B. A 67-year-old female was brought into the Emergency Department by Fire
Rescue accompanied by her adult daughter. The patient’s daughter tells you she and
her mother went out to lunch about an hour ago and when they were seated at their
table all of a sudden her mother had difficulty speaking, became confused as to where
they were, and she could not use her right arm. The CT scan of the brain that was done
STAT upon admission is negative and does not indicate any brain injury.
Discuss why the initial CT scan would be negative
Explain ischemic penumbra in evolving stroke and survival of the penumbra cells
ased on the patientàclinical manifestations which artery is involved and what part of the brain is
the pathology located? Please explain the location. Be specific.
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