Ischemic stroke physical examination: Difference between revisions
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===Neurologic=== | ===Neurologic=== | ||
* Abnormal speech | |||
* Acute facial paresis | * Acute facial paresis | ||
* | * Decreased reflexes: gag, swallow, pupil reactivity to light | ||
* Disorganized thinking, confusion, [[hypersexual]] gestures (with involvement of frontal lobe) | |||
* [[Hemineglect]] (involvement of [[parietal lobe]]) | |||
* Loss of co-ordination | |||
* Memory deficits (involvement of [[temporal lobe]]) | |||
* [[Numbness]] | * [[Numbness]] | ||
* Reduction in sensory or vibratory sensation | * Reduction in sensory or vibratory sensation | ||
==References== | ==References== |
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
- Abnormal speech
- Acute facial paresis
- Decreased reflexes: gag, swallow, pupil reactivity to light
- Disorganized thinking, confusion, hypersexual gestures (with involvement of frontal lobe)
- Hemineglect (involvement of parietal lobe)
- Loss of co-ordination
- Memory deficits (involvement of temporal lobe)
- Numbness
- Reduction in sensory or vibratory sensation
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.