Term
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Definition
| Presentation: Sudden onset HA "thunderclap", confusion, nausea, vomiting Labs/Rads: Head CT unless its subarachnoid which then would do an LP to check for RBC |
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Term
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Definition
| Presentation: HA, neck pain/stiffness, + Kernig and/or + Brudzinski sign, cold Sx Labs/Rads: LP -CSF will be cloudy and + for WBC, CBC will show elevated WBC |
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Term
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Definition
| Presentation: HA, Vision changes, Altered mental status Labs/Rads: Head CT or LP (increase opening pressure) |
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Term
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Definition
| Presentation:Syncope, Postictal state (HA, migraine, confusion, nausea, hypertension), bowel/bladder incontinence, oral trama, witnesses Labs/Rads: Blood levels of antiseizure meds (dilantin, depakote) |
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Term
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Definition
| Presentation: Syncope, Postictal state (HA, migraine, confusion, nausea, hypertension), bowel/bladder incontinence, oral trama, witnesses Labs/Rads: Head CT, Blood alcohol levels (withdrawl?), if patient remembers it may be a pseudo-seizure |
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Term
| Cerebral Vascular Accident CVA |
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Definition
| Presentation: Myriad of Sx:hemiparalysis, slurred speech, aphasia, AMS, focal weakness, focal numbness, dizziness/nausea Labs/Rads: Plain CT (will show hemorrhagic stroke), CTA will show obvious thrombus, MRI will be ordered if CT and CTA are unremarkable **IMPORTANT to document: onset of Sx (are they in window of thrombolytics pTT), If "CODE NEURO" is called time of consults to Neuro IR, If thrombolytics were discussed with pt and family, if thrombolytics were pushed at what time? |
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Term
| Transient Ischemic Attack TIA |
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Definition
| Presentation: Myriad of Sx:hemiparalysis, slurred speech, aphasia, AMS, focal weakness, focal numbness, dizziness/nausea Labs/Rads: Sometimes TIA's are a clinical diagnosis and not proven with imaging **IMPORTANT to document: onset of Sx (are they in window of thrombolytics pTT), If "CODE NEURO" is called time of consults to Neuro IR |
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