Stroke

Your Questions Answered

Authors:

Graeme J. Hankey

Brand: Churchill Livingstone

ISBN: 9780443103223

181.00 zł

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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

Brand Churchill Livingstone

Reference 36472

EAN13 9780443103223

ISBN 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