Sandbox vidit2: Difference between revisions
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===Diagnosis=== | |||
{{familytree/start}} | |||
{{familytree | | | | | | A01 | |A01=<div style="float: left; text-align: left"> ❑ 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</div> }} | |||
{{familytree | | | | | | |!| | |}} | |||
{{familytree | | | | | | B01 | | | |B01=Non-contrast CT (or MRI)}} | |||
{{familytree | | | | | | |!| | | ||}} | |||
{{familytree | | | | | | C01 | | | |C01='''Bleed'''}} | |||
{{familytree | | | |,|-|-|^|-|-|.| | | |}} | |||
{{familytree | | | D01 | | | | D02 |-| D03 | | |D01=Positive|D02=Negative|D03=Ischemic Stroke}} | |||
{{familytree | |,|-|^|-|.| | | |!| | |}} | |||
{{familytree | E01 | | E02 | | E03 | | | |E01='''Intracerebral Hemorrhage'''|E02='''Subarachnoid Hemorrhage'''|E03=Strong Suspicion for SAH}} | |||
{{familytree | |!| | | |!| | | |!|}} | |||
{{familytree | F01 | | |!| | | F02 | | |F01=Management of ICH|F02=May consider lumber puncture}} | |||
{{familytree | | | | | |!| | | |!| | |}} | |||
{{familytree | | | | | G01 | | G02 | | | |G01=Management of SAH|G02=Xanthochromia or bloody CSF}} | |||
{{familytree | | | | | |!| |,|-|^|-|.| | | |}} | |||
{{familytree | | | | | |`| H01 | | H02 |-| H03 | | |H01=Yes|H02=No|H03='''No SAH'''}} | |||
{{familytree | | | | | | | | | | | |!| | |}} | |||
{{familytree | | | | | | | | | | | I01 | | |I01=Strong Suspicion for SAH}} | |||
{{familytree | | | | | | | | | | | |!| |}} | |||
{{familytree | | | | | | | | | | | J01 | |J01=Traumatic tap?<br>Poor Technique?}} | |||
{{familytree | | | | | | | | | |,|-|^|-|.| | |}} | |||
{{familytree | | | | | | | | | K01 | | K02 | |K01=Yes|K02=No}} | |||
{{familytree | | | | | | | | | |!| | | |!| | |}} | |||
{{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 | | | | | | | | | | | | | M01 | | | |M01=<div style="float: left; text-align: left"> ❑ Obtain more Hx and Investigation<br> ❑ Rule out other causes<br> ❑ Analgesia </div>}} | |||
{{familytree/end}} | |||
Revision as of 17:16, 19 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 | |||||||||||||||||||||||||||||||||||||