Pre PACES Podcast #53 Hemiparesis (part 1)
Jan 29, 2023
Dr. Paul Sellors, a Consultant in Stroke Medicine at North Bristol NHS Trust, joins to shed light on hemiparesis and stroke assessment. He discusses why hemiparesis is vital in PACES, clarifies ischemic versus hemorrhagic strokes, and explains cortical stroke patterns using the Bamford classification. With practical tips on assessing power and reflexes, he emphasizes the importance of initial observations. Paul also shares insights on spasticity and contractures, making this a must-listen for exam candidates!
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Metallica As The Consultant Quiz Topic
- Dr Paul Sellors once had long hair and loved heavy metal, which inspired his quiz topic choice.
- He chose Metallica as his specialist non-medical subject for the show's quiz.
Maximise End‑Of‑Bed Inspection
- Inspect the patient thoroughly at the bedside before formal testing to pick up face, arm, and leg patterns and cortical signs.
- Approach from the left or right strategically to test for neglect or aphasia during introduction.
Stroke Distills To Clots Or Blood
- Stroke medicine fundamentally revolves around clots (ischemia) and blood (hemorrhage).
- This simple framing guides acute management and chronic deficits you’ll see on ward-based exams.