Sandbox vidit2: Difference between revisions
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===Diagnosis=== | ===Diagnosis=== | ||
<font size="7">Hemorrhagic stroke</font> | |||
{{familytree/start}} | {{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 | | | | | | 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> }} | ||
Revision as of 03:17, 18 December 2013
Diagnosis
Hemorrhagic stroke
❑ 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 | |||||||||||||||||||||||||||||||||||||