Acute Stroke: Evaluation and Workup

by Carlo Raj, MD

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    Now, acute stroke evaluation and workup. How are you going to work up your patient as you go through and you suspect stroke? ABCs, we’ll talk about these. And in the NIH, they have laid out a stroke scale and there’s a particular chart and table that I’m giving you with that scale, just have a general overlook and you’ll see what I’m referring to when I get to it. Do not spend time memorizing every single line of that particular scale. Don’t worry, I’ll walk you through that. Others. Other workups that you want to keep in mind, glucose, CBC, PT/PTT, giving you your hemodynamic status. Electrolytes, toxicology. And you always want to make sure is your patient on some type of drug such as heroine, cocaine? Pregnancy test, troponins. These all then gives you perhaps where the acute stroke is coming from. ECG is always important as I said. The heart could be very much involved in developing a stroke. On a head CT, what are you looking for? Well, maybe look for hemorrhage. And here once again, you try not to use contrast if you already know that there’s a possibility of increased intracranial pressure. Then you don’t want to use contrast, please. MRI, I’ll talk to you about this in a second. Clues about the ischemia. You want to take a pretty good history from either the spouse, the friend or whatever, or if the patient is able to tell you, you know, what were the predisposing factors taking place, what’s the history of your patient that becomes important. Edema. Could you find edema with your head CT? And here, with the middle cerebral artery, I’m going to quickly walk you through. What becomes important for you is a little bit of a timeline. And just...

    About the Lecture

    The lecture Acute Stroke: Evaluation and Workup by Carlo Raj, MD is from the course Stroke (Cerebrovascular Accident). It contains the following chapters:

    • Acute Stroke Evaluation and Workup
    • NIH Stroke Scale
    • Post-Acute Stroke Workup

    Included Quiz Questions

    1. D-Dimer
    2. EKG
    3. PT/APTT
    4. Head CT
    5. NIH stroke scale
    1. Contrast CT
    2. Non contrast CT
    3. Non contrast MRI
    4. EKG
    5. PT/PTT values
    1. Middle cerebral artery hyperdense sign
    2. Hypodense sign
    3. Bruzdenski's sign
    4. Kernigs sign
    5. Middle cerebral artery dot sign
    1. 1 hour
    2. 24 hours
    3. 6 hours
    4. 12 hours
    5. 48 hours

    Author of lecture Acute Stroke: Evaluation and Workup

     Carlo Raj, MD

    Carlo Raj, MD

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