Scribd Logo
Upload

Welcome to Scribd!

  • Pedagogical Education: Here Is Where Your Presentation Begins!

    Uploaded by

    Alexander Pandu
    16 views8 pages
    The document discusses the clinical manifestations and diagnosis of stroke. Some key points: - Common symptoms of stroke include sudden numbness, weakness, confusion, trouble speaking, seeing, walking and severe headaches. - Diagnosis involves medical history, physical exam including tests of cranial nerves, motor skills, sensation and balance. Scoring systems can also be used. - Tests may include CT/MRI brain scan, angiography, ultrasound of neck arteries, EKG, blood tests and lumbar puncture depending on the situation.

    Original Description:

    Original Title

    cva pandu

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document discusses the clinical manifestations and diagnosis of stroke. Some key points: - Common symptoms of stroke include sudden numbness, weakness, confusion, trouble speaking, seeing, walking and severe headaches. - Diagnosis involves medical history, physical exam including tests of cranial nerves, motor skills, sensation and balance. Scoring systems can also be used. - Tests may include CT/MRI brain scan, angiography, ultrasound of neck arteries, EKG, blood tests and lumbar puncture depending on the situation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    16 views8 pages

    Pedagogical Education: Here Is Where Your Presentation Begins!

    Uploaded by

    Alexander Pandu
    The document discusses the clinical manifestations and diagnosis of stroke. Some key points: - Common symptoms of stroke include sudden numbness, weakness, confusion, trouble speaking, seeing, walking and severe headaches. - Diagnosis involves medical history, physical exam including tests of cranial nerves, motor skills, sensation and balance. Scoring systems can also be used. - Tests may include CT/MRI brain scan, angiography, ultrasound of neck arteries, EKG, blood tests and lumbar puncture depending on the situation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 8

    Here is where your presentation begins!

    PEDAGOGICAL
    EDUCATION
    Manifestasi Klinis

    • Sudden numbness or weakness of the


    face, arm, or leg (especially on one side of
    the body)
    • Sudden confusion, trouble speaking, or
    understanding speech
    • Sudden trouble seeing in one or both eyes
    • Sudden difficulty walking, dizziness, loss
    of balance or coordination
    • Sudden severe headache with no known
    cause

    Ojaghihaghighi, S., Vahdati, S. S., Mikaeilpour, A., & Ramouz, A. (2017). Comparison of neurological clinical
    manifestation in patients with hemorrhagic and ischemic stroke. World journal of emergency medicine, 8(1), 34–38.
    https://doi.org/10.5847/wjem.j.1920-8642.2017.01.006
    Penegakan diagnosis
    Anamnesis
    ○ Gangguan global ■ Gangguan penghidu

    ○ Gangguan fokal mendadak: ■ Gangguan penglihatan

    ■ Kelumpuhan ekstremitas ■ Gangguan pendengaran

    ■ Kelumpuhan otot ■ Gangguan fungsi somatic


    penggerak bola mata sensoris
    ■ Gangguan menelan, ■ Gangguan
    bicara, dsb neurobehavioral (atensi,
    memori, bicaara verbal,
    ■ Gangguan fungsi pemahaman
    keseimbangan pembicaraan, pengenalan
    ruang, kognitif lainnya)

    PPK Perdossi 2016


    ● Anterior Cerebral Artery (ACA) :
    motor aphasia, personality issues,
    contralateral leg weakness and numbness,
    tangan dan wajah biasa terhindar
    ● Middle Cerebral Artery (MCA) :
    contralateral arm and facial numbness and
    weakness, gaze deviation towards the
    affected side.

    ● Posterior Cerebral Artery (PCA) :


    Hemianopia
    ● Cerebellar : ataksia, disartria, mual,
    muntah, vertigo
    ● Lacunar : hemiplegi, hemisensorik

    Khaku, A., S., and Tadi, P., 2020. Cerebrovascular Disease. StatPearls
    [Internet]. Treasure Island (FL): StatPearls Publising.
    Pemeriksaan Fisik
    ● Status Kesadaran dan TTV
    ● Pemeriksaan Neurologis
     Nervus Kranialis
     Motorik
     Sensorik
     Fungsi Luhur dan Keseimbangan
    ● Skoring
    ● Sirijaj Stroke Score (SSS)
    ● Gajah Mada Score

    • Kovács N. Neurological physical examination. 2016


    • Bickley L, Szilagyi PG. Bates' guide to physical examination and history-taking. Lippincott Williams & Wilkins; 2012 Nov 1.
    • Ropper A, Samuels M, Klein J. Adams and Victor's Principles of Neurology 10th.
    Skoring
    Pemeriksaan Penunjang
    ● CT Scan/ MRI Brain atau CT/MR Angiografi Brain
    ● EKG
    ● Doppler Carotis
    ● Transcranial Doppler
    ● Lab : Hematologi rutin, gula darah sewaktu, fungsi ginjal (ureum, kreatinin),
    Activated Partial Thrombin Time (APTT), waktu prothrombin (PT), INR, gula darah
    puasa dan 2 jam PP, HbA1C, profil lipid, C-reactive protein (CRP), laju endap
    darah, dan pemeriksaan atas indikasi seperti: enzim jantung (troponin / CKMB),
    serum elektrolit, analisis hepatik dan pemeriksaan elektrolit.
    ● Thorax foto 155
    ● Urinalisa
    ● Pemeriksaan Neurobehavior (Fungsi Luhur)
    ● DSA Serebral

    PPK Perdossi 2016

    You might also like