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Thread: some mnemonics

  1. #1
    Asclepius1's Avatar
    Asclepius1 is offline Ultimate Member 537 points
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    some mnemonics

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    Lacunar infarct: "Lacunar" from the Latin for G-A-P or- D-I-S-P-A-R-I-T-Y

    G-deep Gray matter: basal ganglia
    A-Atherosclerosis
    P-hyPertension

    D-Dysarthria and a contralateral clumsy hand or arm due to infarction in the base of the pons or in the genu
    of the internal capsule. (20%)
    I-Internal Capsule: Lacunae in the posterior limb of the Internal capsule may cause pure motor hemiplegia
    involving the face, arm, leg, foot. (60%)
    S-Subcortical, capsular, or thalamic lacunae
    P-Pontine lesions
    A-Ataxic hemiparesis due to an infarct in the base of the pons
    R-Rare: Lacunae in the anterior limb of the Internal capsule may cause severe dysarthria with facial weakness.
    I-Ipsilateral ataxia (arm/leg) with leg weakness: Pontine lesion (rare)
    T-Thalamus: Lacunae in the Thalamus may cause pure sensory stroke (10%)
    y-V-Ventrolateral Thalamic lacunae


    Anterior cerebral artery (A*C*A) occlusion:

    *C*-Contralateral Crural (leg) monoplegia
    *C*-Crest of Cerebral hemispheres and medial hemispheric walls represent the leg area of the motor strip


    Middle cerebral artery (MCA) occlusion: "Difficulty with A-B-Cs in M-C-A"

    A-Apraxia
    B-Blindness in corresponding half of the visual field (contralateral homonymous hemianopsia)
    C-Contralateral Clumsiness of arm, face. -- Leg is somewhat spared.

    M-Memorization difficulties
    C-Calculation difficulties
    A-Aphasia with language-dominant hemispheral involvement.

    Posterior cerebral artery (PCA) occlusion: P-O-S-T

    P-Proximal fling movements
    O-Occipital lobe infarction results in contralateral homonymous hemianopsia which may be complete
    S-Speech and Spelling maintained, but unable to read fluently
    T-Thalamic syndrome

    __________________________________________________ __________________________________________

    A well-known mnemonic regarding occlusion of the vertebral-basilar circulation: 4D

    -Dizziness
    -Diplopia
    -Dysarthria
    -Dysphagia

    __________________________________________________ __________________________________________

    Types of Stroke

    Stroke "H-I-T" you!

    H-Hemorrhagic
    I-Ischemic
    T-TIA (Transient Ischemia Attack)

    T.I.A (Transient Ischemic attack)

    Patients often describe it as a shade being pulled over their eyes: S-H-A-D-E-D

    S-Sensory loss; TIA may herald a stroke
    H-Hypertension, Hyperlipidemia
    A-Amaurosis fugax (transient monocular blindness)
    D-DDx: seizures, neoplasms, migraine, vertigo
    E-Extrinsic factor is monitored for warfarin administration; E-Endarterectomy
    D-Diabetes

    Root values of reflexes are 1,2,3,4,5,6,7,8 - S1-2 ankle, L3-4 knee, C5-6 biceps/supinator, C7-8 triceps.

    Argyle Robertson Pupil
    Accomodation Reflex Present - Pupillary Reflex Absent.
    Romca likes this.

  2. #2
    CherylW is offline Newbie 510 points
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    Yes! Thank you! These mnemonics were really helpful.
    Why can't more things in life be free?

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