Narrative Review: Stroke: Difference between revisions
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* '''Past Surgical History:''' [including date] | * '''Past Surgical History:''' [including date] | ||
* '''Medications:''' [relevant to the event not all] | * '''Medications:''' [relevant to the event not all] | ||
== Event(s)== | |||
== | |||
'''Event (1):''' | '''Event (1):''' | ||
* '''Site Reported Event Onset Date:''' mm/dd/YYYY | *'''Site Reported Event Onset Date:''' mm/dd/YYYY | ||
* '''Event summary''': | *'''Event summary''': | ||
** Symptoms and sign: Subject presented with [sign and symptom] on mm/dd/YYYY. | **'''Symptoms and sign''': Subject presented with [sign and symptom] on mm/dd/YYYY. | ||
** Important characteristics of the chief complaint such as severity, site, and duration. | **Important characteristics of the chief complaint such as severity, site, and duration. | ||
** Other important symptoms related to the chief complaint. | **Other important symptoms related to the chief complaint. | ||
** Physical assessment: | **'''Physical assessment:''' | ||
*** Vital signs | ***Vital signs | ||
*** Positive physical examinations or related negative examinations. | ***Positive physical examinations or related negative examinations. | ||
'''Event (2):''' | '''Event (2):''' | ||
*'''Site Reported Event Onset Date:''' mm/dd/YYYY | *'''Site Reported Event Onset Date:''' mm/dd/YYYY | ||
* '''Event summary''': | *'''Event summary''': | ||
** Symptoms and sign: Subject presented with [sign and symptom] on mm/dd/YYYY. | **'''Symptoms and sign''': Subject presented with [sign and symptom] on mm/dd/YYYY. | ||
** Important characteristics of the chief complaint such as severity, site, and duration. | **Important characteristics of the chief complaint such as severity, site, and duration. | ||
** Other important symptoms related to the chief | **Other important symptoms related to the chief complaint. | ||
** Physical assessment: | **'''Physical assessment:''' | ||
*** Vital signs | ***Vital signs | ||
*** Positive physical examinations or related negative examinations. | ***Positive physical examinations or related negative examinations. | ||
==Procedure== | |||
*'''Index Procedure Date/Time''': | |||
**mm/dd/YYYY at xx:xx [insert date and time] | |||
*'''Index Procedure Detail''': | |||
**On mm/dd/YYYY 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). | |||
== Laboratory data == | == Laboratory data == | ||
* '''Lab studies list: ('''Date/ name/ value) | * '''Lab studies list: ('''Date/ name/ value) |
Revision as of 21:00, 19 June 2018
Narrative Review |
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 | mm/dd/YYYY | 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]
Event(s)
Event (1):
- Site Reported Event Onset Date: mm/dd/YYYY
- Event summary:
- Symptoms and sign: Subject presented with [sign and symptom] on mm/dd/YYYY.
- Important characteristics of the chief complaint such as severity, site, and duration.
- Other important symptoms related to the chief complaint.
- Physical assessment:
- Vital signs
- Positive physical examinations or related negative examinations.
Event (2):
- Site Reported Event Onset Date: mm/dd/YYYY
- Event summary:
- Symptoms and sign: Subject presented with [sign and symptom] on mm/dd/YYYY.
- Important characteristics of the chief complaint such as severity, site, and duration.
- Other important symptoms related to the chief complaint.
- Physical assessment:
- Vital signs
- Positive physical examinations or related negative examinations.
Procedure
- Index Procedure Date/Time:
- mm/dd/YYYY at xx:xx [insert date and time]
- Index Procedure Detail:
- On mm/dd/YYYY 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).
Laboratory data
- Lab studies list: (Date/ name/ value)
Diagnostic tests
- mm/dd/YYYY at xx:xx on brain MRI
- mm/dd/YYYY at xx:xx on MRA
- mm/dd/YYYY at xx:xx on CT
- mm/dd/YYYY at xx:xx on EEG
- mm/dd/YYYY at xx:xx on Carotid US
- mm/dd/YYYY at xx:xx on ECG:
- mm/dd/YYYY at xx:xx on ECHO:
- mm/dd/YYYY at xx:xx on Ultrasound:
- mm/dd/YYYY at xx:xx on Endoscopy:
- mm/dd/YYYY 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
- Outcome [Discharge / Hospice / Death]