Narrative Review: Stroke: Difference between revisions
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Revision as of 19:23, 14 June 2018
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]
Site | Patient | AE | Complication | Event date | AE code |
---|---|---|---|---|---|
xxx | xxx | x | xx/xx/xxxx | xxx |
Demographic / Medical history
- Demographic: [age] year old [gender]
- Past Medical History: [eg. VHD, diabetes, and CAD,.../ including date]
- Past Surgical History: [including date]
- Medications: [relevant to the event not all]
Procedure
- Index Procedure Date/Time:
- xx/xx/xxxx at xx:xx [insert date and time]
- Index Procedure Detail:
- On xx/xx/xxxx at xx:xx [insert date and time] the subject underwent a [select surgical correction] for [select etiology].
- Access site details
- The site reported that there were/were not procedural complication(s).
Event(s)
Event (1):
- 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 signs
- Positive physical examinations or related negative examinations.
Event (2):
- 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 signs
- Positive physical examinations or related negative examinations.
Laboratory data
- Lab studies list: (Date/ name/ value)
Diagnostic tests
- xx/xx/xxxx at xx:xx on brain 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
- xx/xx/xxxx at xx:xx on ECG:
- xx/xx/xxxx at xx:xx on ECHO:
- xx/xx/xxxx at xx:xx on Ultrasound:
- xx/xx/xxxx at xx:xx on Endoscopy:
- xx/xx/xxxx at xx:xx ... (Other relevant imaging and diagnostic tests)
Consults
- Date and time of consult
- Suggested treatments
Clinical course
- Date and time of events,
- Patient condition got worse or better.
Treatment and outcome
- List of relevant medical treatments
- Out come [Discharge / Hospice / Death]