Sandbox vidit2: Difference between revisions
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{{familytree | | | | | | | | | K01 | | K02 | |K01=Yes|K02=No}} | {{familytree | | | | | | | | | K01 | | K02 | |K01=Yes|K02=No}} | ||
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{{familytree | | | | | | | | | L01 | | L02 | | | |L01=<div style="float: left; text-align: left"> ❑ CTA/MRA<br> ❑ Consult to Neurosurgeon<br> ❑ Talk with superior|L02=Normal CSF | {{familytree | | | | | | | | | L01 | | L02 | | | |L01=<div style="float: left; text-align: left"> ❑ CTA/MRA<br> ❑ Consult to Neurosurgeon<br> ❑ Talk with superior </div>|L02=Normal CSF }} | ||
{{familytree | | | | | | | | | | | | | |!| | |}} | {{familytree | | | | | | | | | | | | | |!| | |}} | ||
{{familytree | | | | | | | | | | | | | M01 | | | |M01=<div style="float: left; text-align: left"> ❑ Obtain more Hx and Investigation<br> ❑ Rule out other causes<br> ❑ Analgesia </div>}} | {{familytree | | | | | | | | | | | | | M01 | | | |M01=<div style="float: left; text-align: left"> ❑ Obtain more Hx and Investigation<br> ❑ Rule out other causes<br> ❑ Analgesia </div>}} | ||
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Revision as of 16:08, 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 | |||||||||||||||||||||||||||||||||||||