Your Questions Answered To order this title, and for more information, click here Second Edition
By Graeme Hankey, MBBS, MD, FRCP(Edin), FRACP, Consultant Neurologist and Head of Stroke Unit and Clinical Associate Professor, Royal Perth Hospital, Perth, Australia
Description This is the second edition of a succinct, evidence-based source of answers to questions commonly asked by general practitioners about
stroke including 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? 3. What is the cause of the stroke? 4. What is the prognosis for survival and handicap? 5. What can be done to
optimise patient outcome and prevent recurrant stroke? Chapter 16 discusses stroke in special populations. The book concludes with appendices
providing information on stroke organisations (including postal and internet addresses) and medical websites.
Contents
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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