Intracerebral hemorrhage physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination of patients with Intracerebral hemorrhage usually varies based on the location of the bleeding.<ref name="pmid4105427" /> Physical examination of patients with intracerebral hemorrhage should include vital signs, assessment of level of consciousness (GCS), and level of the severity of the neurological defect (NIHSS)<ref name="pmid17962600">{{cite journal| author=Bos MJ, Koudstaal PJ, Hofman A, Breteler MM| title=Decreased glomerular filtration rate is a risk factor for hemorrhagic but not for ischemic stroke: the Rotterdam Study. | journal=Stroke | year= 2007 | volume= 38 | issue= 12 | pages= 3127-32 | pmid=17962600 | doi=10.1161/STROKEAHA.107.489807 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17962600 }} </ref><ref name="pmid23077009">{{cite journal| author=Hackam DG, Mrkobrada M| title=Selective serotonin reuptake inhibitors and brain hemorrhage: a meta-analysis. | journal=Neurology | year= 2012 | volume= 79 | issue= 18 | pages= 1862-5 | pmid=23077009 | doi=10.1212/WNL.0b013e318271f848 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23077009 }} [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23449782 Review in: Evid Based Ment Health. 2013 May;16(2):54] </ref> | Physical examination of patients with Intracerebral hemorrhage usually varies based on the location of the bleeding.<ref name="pmid4105427" /> Physical examination of patients with intracerebral hemorrhage should include vital signs, assessment of level of consciousness [[Glasgow Coma Scale|(GCS)]], and level of the severity of the neurological defect [[National Institutes of Health Stroke Scale(NIHSS)]]<ref name="pmid17962600">{{cite journal| author=Bos MJ, Koudstaal PJ, Hofman A, Breteler MM| title=Decreased glomerular filtration rate is a risk factor for hemorrhagic but not for ischemic stroke: the Rotterdam Study. | journal=Stroke | year= 2007 | volume= 38 | issue= 12 | pages= 3127-32 | pmid=17962600 | doi=10.1161/STROKEAHA.107.489807 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17962600 }} </ref><ref name="pmid23077009">{{cite journal| author=Hackam DG, Mrkobrada M| title=Selective serotonin reuptake inhibitors and brain hemorrhage: a meta-analysis. | journal=Neurology | year= 2012 | volume= 79 | issue= 18 | pages= 1862-5 | pmid=23077009 | doi=10.1212/WNL.0b013e318271f848 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23077009 }} [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23449782 Review in: Evid Based Ment Health. 2013 May;16(2):54] </ref> | ||
==Physical examination== | |||
Physical examination of patients with intracerebral hemorrhage should include:<ref name="pmid17962600" /><ref name="pmid23077009" /> | |||
==Physical | |||
*Vital signs | *Vital signs | ||
*Level of consciousness ([[Glasgow Coma Scale|Glasgow Coma Scale (GCS)]]) | *Level of consciousness ([[Glasgow Coma Scale|Glasgow Coma Scale (GCS)]]) | ||
Revision as of 01:09, 4 December 2016
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Intracerebral hemorrhage Microchapters |
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Diagnosis |
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Treatment |
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AHA/ASA Guidelines for the Management of Spontaneous Intracerebral Hemorrhage (2015) |
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AHA/ASA Guideline Recommendation for the Primary Prevention of Stroke (2014) |
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Case Studies |
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Intracerebral hemorrhage physical examination On the Web |
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American Roentgen Ray Society Images of Intracerebral hemorrhage physical examination |
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Risk calculators and risk factors for Intracerebral hemorrhage physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
Physical examination of patients with Intracerebral hemorrhage usually varies based on the location of the bleeding.[1] Physical examination of patients with intracerebral hemorrhage should include vital signs, assessment of level of consciousness (GCS), and level of the severity of the neurological defect National Institutes of Health Stroke Scale(NIHSS)[2][3]
Physical examination
Physical examination of patients with intracerebral hemorrhage should include:[2][3]
- Vital signs
- Level of consciousness (Glasgow Coma Scale (GCS))
- Level of severity of neurological deficit (National Institutes of Health Stroke Scale (NIHSS))
Physical examination of patients with Intracerebral hemorrhage usually varies based on the location of the bleeding.[1]
| Locations | Physical examination |
|---|---|
| Putamenal hemorrhage | |
| Thalamic hemorrhage | General signs:
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Behavioural patterns based on the four main arterial thalamic territories:
| |
| Pontine hemorrhage |
|
| Cerebellar hemorrhage |
|
| Lobar hemorrhage | The signs vary depending on the location of the hemorrhage:
|
References
- ↑ 1.0 1.1 Fisher CM (1971). "Pathological observations in hypertensive cerebral hemorrhage". J Neuropathol Exp Neurol. 30 (3): 536–50. PMID 4105427.
- ↑ 2.0 2.1 Bos MJ, Koudstaal PJ, Hofman A, Breteler MM (2007). "Decreased glomerular filtration rate is a risk factor for hemorrhagic but not for ischemic stroke: the Rotterdam Study". Stroke. 38 (12): 3127–32. doi:10.1161/STROKEAHA.107.489807. PMID 17962600.
- ↑ 3.0 3.1 Hackam DG, Mrkobrada M (2012). "Selective serotonin reuptake inhibitors and brain hemorrhage: a meta-analysis". Neurology. 79 (18): 1862–5. doi:10.1212/WNL.0b013e318271f848. PMID 23077009. Review in: Evid Based Ment Health. 2013 May;16(2):54