Dr. Evelyn Chan

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 infarctPACI, Partial anterior circulation infarctLACI, Lacunar infarctPOCI, Posterior circulation infarct

The Oxford Community Stroke Project classification , OCSP

What 3 components are present?

Define PACI

Give the clinical syndromes of a LACI.

What symptoms are classified under POCI?

What are the causes of ischaemic stroke?

What is a 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?

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?

Mobilisation How and when to mobilise the patient?

Which antiplatelets to use?

How to treat recurrent ischaemic strokes?

How to treat cardioembolic strokes?

Statins

How to manage hypertension in acute stroke?

What are the causes of high BP in an acute stroke?

How and when do you treat hyperglycaemia?

Why treat?

How to manage?

Thank you