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Stroke

Stroke

Your Questions Answered

9780443103223
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Description
This is the second edition of a succinct, evidence-based source of answers to questions commonly asked by general practitioners about stroke (eg. definitions, epidemiology, causes, clinical features, investigations, management, outcome and secondary prevention).
It is divided into sixteen chapters, each with a list of relevant key references for further reading. The first two chapters define what is meant by a stroke and the size of a problem for stroke patients, their carers and the community. Chapters 3-15 address, in turn, the five key questions that should be answered in the diagnosis and management of all stroke patients::
1. Is it a stroke?
2. Where is the stroke lesion? (i.e. which part of the brain and what arterial territory is affected?)(chapter 4)
3. What is the cause of the stroke? (i.e. is it an infarct or haemorrhage, and what is the cause of the infarct or haemorrhage?) (chapters 6-8)
4. What is the prognosis for survival and handicap? (chapter 9)
5. What can be done to optimise patient outcome and prevent recurrant stroke? (chapters 10-15)
Chapter 16 discusses stroke in special populations (e.g. children, pregnant women). The book concludes with appendices providing information on stroke organisations (including postal and internet addresses) and medical websites.
Product Details
Churchill Livingstone
36472
9780443103223
9780443103223

Data sheet

Publication date
2006
Issue number
2
Cover
paperback
Pages count
408
Dimensions (mm)
197 x 240
Weight (g)
499
  • How to use this book
    1. Terminology and definitions (what is a stroke?)
    Patient questions
    2. Epidemiology how big is the problem of a stroke?)
    3. Diagnosis of stroke and transcient ischaemic attack (is it a vascular event?)
    Symptoms and signs
    Diagnosis of transcient ischaemic attack
    diagnosis of stroke
    Subarachnoid haemorrage
    Patient questions
    4. Localisation of the lesion (where is the damage?)
    Carotid and vertebrobasilar territory ischaemia
    Stroke syndromes
    Boundary zone infarctions
    5. Pathological diagnosis
    Patient questions
    6. Aetiological diagnosis 1 (what are the possible causes?)
    Establishing the cause of stroke
    Atherosclerosis as a cause of ischaemic stroke
    Intracranial small vessel disease as a cause of stroke
    Embolism from the heart as a cause of stroke
    Rarer causes of ischaemic stroke
    Establishing the cause of brain haemorrhage
    Patient questions
    7. Aetiological diagnosis 2 (what are the possible risk factors?)
    General risk factors
    Cardiovascular risk factors
    Metabolic risk factors
    Hormonal risk factors
    Lifestyle risk factors
    genetic risk factors
    Patient questions
    8. Aetiological diagnosis 3(what investigations are needed?)
    Imaging
    Laboratory tests
    Patient questions
    9. Prognosis (what does the future hold for the patient?)
    Prognosis of stroke
    Prognosis of TA
    Prognosis of subarachnoid haemorrhage
    Patient questions
    10. Early management (should patients be referred to hospital?)
    Patient questions
    11. Hospital management
    The stroke unit
    The stroke team
    The work of the stroke team
    Patient questions
    12. General management (what is basic stroke care?)
    Patient questions
    13. Specific management (what therapy for stroke is effective?)
    Management principles
    Thrombolysis in acute ischaemic stroke
    Asprin therapy
    Anticoagulation therapy
    Prevention of deep vein thrombosis
    Other treatments
    Patient questions
    14. Secondary prevention (how can recurrance be prevented?)
    Reduction of blood pressure
    Other measures to prevent recurrent stroke
    Lifestyle modification and diet
    Antiplatelet therapy
    Surgical interventions
    Stroke caused by cardiogenic embolism
    Selection of patients for thromboprophylaxis
    Decision-making
    Patient questions
    Post-stroke care (how should new problems be managed?)
    Progress of stroke
    Complications
    Deep vein thrombosis and pulmonary embolism
    Residual handicaps
    Patient questions
    Stroke in special populations
    Appendix A: Volunteer and support groups and websites
    Appendix B: Diagnostic evaluation of suspected transcient ischaemic attack and stroke
    References
    Glossary
    List of patient questions
    Index
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