PATHOPHYSIOLOGY (Schematic Diagram) Precipitating Factor:
Predisposing Factor:
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HYPERTENSION
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AGE
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STRESS
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GENDER
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DIABETES MELLITUS
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FAMILY HISTORY
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HISTORY OF STROKE
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HYPERLIPIDEMIA
Increased blood flow to the brain
Compromise of the integrity of cerebral arterioles Deposition of lipid and hyaline material in the arterial wall Weakening of the walls Formation of Chalcot- Bouchard aneurysm -FEVER
Rupture of the anterior cerebral artery
LEUKOCYTOS
Inflammation of the frontal lobe -ABG, CEREBRAL Alteration in the ANGIOGRAPHY, MRI, CT SCAN, Subarachoid screw, cerebral ventriculostomy, epidural ICP component monitoring. -RESTLESSNESS, CHANGES IN LOC, DROWSINESS,CONFUSION,
Bleeding or hemorrhage on at the affected area Hematom a formation
Presence of free blood in the interstitial areas
Thrombu s formatio
Increase in the Intracranial pressure Metaboli c regulatio
Compressi on of the brain componen
Auto regulatio n -PROJECTI LE VOMITING, NUMBNES S OF EXTREMIIT IES , VISUAL DISTURBA
Decreas e oxygen supply Stimulate s further swelling and inflammat Ischemi a Scar Formatio n X RAY, CT scan, MRI
-BROCA’S APHASIA, HEMIPARESIS, HEMIANOPSIA , DYSARTHRIA, INCAPABLE LEGEND: OF ABSTRACT THINKING
RED FONT SYMPTOMS PINK FONT
Compensato ry mechanism
IF NOT TREATED
Cellular edema
Stimulation of vasomotor centers
Alteration in the frontal lobe function
Increas e system ic
Cell membrane destruction
CT SCAN AND MRI
Vasospas m
Electroly te imbalan
Acidosi s
-SERUM ELECTROLYTE TEST (decrease Mg, K), PE/PA, ABG(Respiratory alkalosis) -CHANGES IN THE V/S
-VITAL SIGN CHANGES
IF TREATED
Management: Brain stem herniation
SURGICAL: craniectomy, craniotomy, AVMS
stupor MEDICAL: Pharmacologic Therapy - Comatose SIGNS AND SYMPTOMS AMD THE Fair (citicholine, mannitol, dilatin, DIAGNOSTIC EXAMS Prognosis captopril, Nitroglycerin, furosemide, - DISEASE PROCESS remopain, Kalium Durule, MgSO4) Worsening - ofPOSSIBLE INTERVENTIONS AND the condition -
DEATH ACTUAL INTERVENTIONS AND