Hemorrhagic stroke history and symptoms

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AHA/ASA Guidelines for the Management of Spontaneous Intracerebral Hemorrhage (2015) Management of ICH
AHA/ASA Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage (2012) Management of aSAH
AHA/ASA Guideline Recommendation for the Primary Prevention of Stroke (2014) Primary Prevention of Stroke
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

History and symptoms

Hiistory

It is critical to obtain a detailed and focused history.

History	}Comments
Timing of the symptoms onset	The time the patient was last normal
Initial symptoms	The progression of symptoms
Vascular risk factors	Hypertension Diabetes Hypercholesterolemia Smoking
Medications	Anticoagulants Antiplatelet agents Decongestants Antihypertensive medications Stimulants (including diet pills) Sympathomimetics
Recent trauma or surgery	ICH may be related to hyperperfusion after Carotid endarterectomy Carotid stenting
Dementia	Associated with amyloid angiopathy
Alcohol or illicit drug use	Cocaine Other sympathomimetic drugs
Liver disease	Associated with coagulopathy
Cancer and hematologic disorders	Associated with coagulopathy

References

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