Sandbox vidit2: Difference between revisions
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===Diagnosis=== | ===Diagnosis=== | ||
{{familytree/start}} | {{familytree/start}} | ||
{{familytree | | | | | | A01 | |A01='''Check vitals'''<br>'''Stabilize ABC'''<br>'''Brief Hx'''<br>'''Rapid physical exam''' - neuro exam, '''NIHSS'''<br>'''Activate stroke team'''<br>'''Stat fingerstick'''<br>'''Basic labs,''' troponin, EKG<br>'''NPO'''<br>'''Obtain stroke protocol'''}} | {{familytree | | | | | | A01 | |A01=❑'''Check vitals'''<br>❑'''Stabilize ABC'''<br>❑'''Brief Hx'''<br>❑'''Rapid physical exam''' - neuro exam, '''NIHSS'''<br>❑'''Activate stroke team'''<br>❑'''Stat fingerstick'''<br>❑'''Basic labs,''' troponin, EKG<br>❑'''NPO'''<br>❑'''Obtain stroke protocol'''}} | ||
{{familytree | | | | | | |!| | |}} | {{familytree | | | | | | |!| | |}} | ||
{{familytree | | | | | | B01 | | | |B01=Non-contrast CT (or MRI)}} | {{familytree | | | | | | B01 | | | |B01=Non-contrast CT (or MRI)}} | ||
Revision as of 15:42, 17 December 2013
Diagnosis
| ❑Check vitals ❑Stabilize ABC ❑Brief Hx ❑Rapid physical exam - neuro exam, NIHSS ❑Activate stroke team ❑Stat fingerstick ❑Basic labs, troponin, EKG ❑NPO ❑Obtain stroke protocol | |||||||||||||||||||||||||||||||||||||
| Non-contrast CT (or MRI) | |||||||||||||||||||||||||||||||||||||
| Bleed | |||||||||||||||||||||||||||||||||||||
| Positive | Negative | Ischemic Stroke | |||||||||||||||||||||||||||||||||||
| Intracerebral Hemorrhage | Subarachnoid Hemorrhage | Strong Suspicion for SAH | |||||||||||||||||||||||||||||||||||
| Management of ICH | May consider lumber puncture | ||||||||||||||||||||||||||||||||||||
| Management of SAH | Xanthochromia or bloody CSF | ||||||||||||||||||||||||||||||||||||
| Yes | No | No SAH | |||||||||||||||||||||||||||||||||||
| Strong Suspicion for SAH | |||||||||||||||||||||||||||||||||||||
| Traumatic tap? Poor Technique? | |||||||||||||||||||||||||||||||||||||
| Yes | No | ||||||||||||||||||||||||||||||||||||
| CTA/MRA Consult to Neurosurgeon Talk with superior | Normal CSF | ||||||||||||||||||||||||||||||||||||
| Obtain more Hx and Investigation Rule out other causes Analgesia | |||||||||||||||||||||||||||||||||||||