Narrative Review: Stroke: Difference between revisions
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(Created page with " '''Site:''' '''AE:''' '''Complication:''' '''Event date:''' '''Adverse event code:''' * '''Demograghic''': [age] year old [gender] * '''Past Medical History:''' [eg. CAD...") |
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'''Adverse event code:''' | '''Adverse event code:''' | ||
* '''Demograghic''': [age] year old [gender] | * '''Demograghic''': [age] year old [gender] | ||
* '''Past Medical History:''' [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...] | * '''Past Medical History:''' [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...] | ||
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** Baseline MR severity was classified as [select none, trace, mild, mild-moderate, moderate, moderate-severe-severe] and post-implant MR was classified as [select severity]. | ** Baseline MR severity was classified as [select none, trace, mild, mild-moderate, moderate, moderate-severe-severe] and post-implant MR was classified as [select severity]. | ||
** The site reported that there were/were not procedural complication(s). | ** The site reported that there were/were not procedural complication(s). | ||
* '''Event''': | * '''Event''': | ||
* '''Site Reported Event Onset Date:''' xx/xx/xxxx | * '''Site Reported Event Onset Date:''' xx/xx/xxxx | ||
* '''Event summary''': | * '''Event summary''': | ||
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** Positive physical examinations or related negative examinations. | ** Positive physical examinations or related negative examinations. | ||
* '''Lab studies:''' | * '''Lab studies:''' | ||
** Date/ name/ value [ as a list ] | |||
*** | * '''Brain, carotid Imaging/tests:''' | ||
** xx/xx/xxxx at xx:xx on MRI | |||
** xx/xx/xxxx at xx:xx on MRA | |||
** xx/xx/xxxx at xx:xx on CT | |||
** xx/xx/xxxx at xx:xx on EEG | |||
** xx/xx/xxxx at xx:xx on Carotid US | |||
EEG | |||
* | |||
* '''Other relevant clinical clues/ Date:''' | |||
* '''Other | |||
* '''Clinical course''': | * '''Clinical course''': | ||
* '''Treatment:''' | * '''Treatment:''' | ||
* '''Outcome / date:''' [Discharge / Hospice / Death] | * '''Outcome / date:''' [Discharge / Hospice / Death] |
Revision as of 15:30, 14 June 2018
Site:
AE:
Complication:
Event date:
Adverse event code:
- Demograghic: [age] year old [gender]
- Past Medical History: [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...]
- Index Procedure Date/Time: xx/xx/xxxx at xx:xx [insert date and time]
- Index Procedure Detail:
- On [insert date and time] the subject underwent a [select surgical correction] for [select etiology].
- Enter access site details
- Baseline MR severity was classified as [select none, trace, mild, mild-moderate, moderate, moderate-severe-severe] and post-implant MR was classified as [select severity].
- The site reported that there were/were not procedural complication(s).
- Event:
- Site Reported Event Onset Date: xx/xx/xxxx
- Event summary:
- Symptoms and sign: Subject presented with [sign and symptom] on xx/xx/xxxx.
- Important characteristics of the chief complaint such as severity, site, and duration.
- Other important symptoms related to the chief compliant.
- Physical assessment:
- Vital sign
- Positive physical examinations or related negative examinations.
- Lab studies:
- Date/ name/ value [ as a list ]
- Brain, carotid Imaging/tests:
- xx/xx/xxxx at xx:xx on MRI
- xx/xx/xxxx at xx:xx on MRA
- xx/xx/xxxx at xx:xx on CT
- xx/xx/xxxx at xx:xx on EEG
- xx/xx/xxxx at xx:xx on Carotid US
- Other relevant clinical clues/ Date:
- Clinical course:
- Treatment:
- Outcome / date: [Discharge / Hospice / Death]