Ischemic stroke physical examination: Difference between revisions
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* Arm drift<ref name="pmid15900010">{{cite journal |author=Goldstein L, Simel D |title=Is this patient having a stroke? |journal=JAMA |volume=293 |issue=19 |pages=2391-402 |year=2005 |id=PMID 15900010 | doi=10.1001/jama.296.16.2012 | url=http://jama.ama-assn.org/cgi/content/full/296/16/2012}}</ref> | * Arm drift<ref name="pmid15900010">{{cite journal |author=Goldstein L, Simel D |title=Is this patient having a stroke? |journal=JAMA |volume=293 |issue=19 |pages=2391-402 |year=2005 |id=PMID 15900010 | doi=10.1001/jama.296.16.2012 | url=http://jama.ama-assn.org/cgi/content/full/296/16/2012}}</ref> | ||
* [[Weakness]] | * [[Weakness]] | ||
Revision as of 15:37, 13 February 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
A systematic review found that acute facial paresis, arm drift, or abnormal speech are the best findings.[1]
Physical Examination
Appearance
The patient may appear confused.
Eye
- Vision problems may be present.
- Drooping of eyelid (ptosis) and weakness of ocular muscles
Ear
- Altered hearing may be present.
Extremities
Neurologic
- Acute facial paresis
- Abnormal speech
- Numbness
- Loss of co-ordination
- Reduction in sensory or vibratory sensation
- Decreased reflexes: gag, swallow, pupil reactivity to light
- Memory deficits (involvement of temporal lobe)
- Hemineglect (involvement of parietal lobe)
- Disorganized thinking, confusion, hypersexual gestures (with involvement of frontal lobe)
References
- ↑ 1.0 1.1 Goldstein L, Simel D (2005). "Is this patient having a stroke?". JAMA. 293 (19): 2391–402. doi:10.1001/jama.296.16.2012 url=http://jama.ama-assn.org/cgi/content/full/296/16/2012 Check
|doi=value (help). PMID 15900010.