Stroke (main) - Revision history

Danbot: Move calculators to own section with header (visible in TOC), expanded, before External Links

2026-03-21T15:05:55Z

Move calculators to own section with header (visible in TOC), expanded, before External Links

← Revisión anterior		Revisión del 15:05 21 mar 2026
Línea 78:		Línea 78:
	*[[Cerebellar Stroke]]		*[[Cerebellar Stroke]]
	*[[Focal neurologic signs]]		*[[Focal neurologic signs]]

			== Calculators ==
			{{NIHSS_Calculator}}

	==External Links==		==External Links==
Línea 85:		Línea 88:
	==References==		==References==
	<references/>		<references/>


	~~<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">~~
	~~<div style="font-weight:bold;">📊 NIH Stroke Scale (NIHSS) Calculator [show]</div>~~
	~~<div class="mw-collapsible-content">~~
	~~{{NIHSS_Calculator}}~~
	~~</div>~~
	~~</div>~~
	[[Category:Neurology]]		[[Category:Neurology]]

2026-03-21T13:50:29Z

Add NIH Stroke Scale (NIHSS) calculator (collapsible)

← Revisión anterior		Revisión del 13:50 21 mar 2026
Línea 86:		Línea 86:
	<references/>		<references/>


			<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">
			<div style="font-weight:bold;">📊 NIH Stroke Scale (NIHSS) Calculator [show]</div>
			<div class="mw-collapsible-content">
			{{NIHSS_Calculator}}
			</div>
			</div>
	[[Category:Neurology]]		[[Category:Neurology]]

2025-10-22T19:42:16Z

← Revisión anterior		Revisión del 19:42 22 oct 2025
Línea 1:		Línea 1:
	==Background==		==Background==
			[[File:23-Sensory-Homonculus.png\|thumb\|Sensory Homonculus - courtesy AnatomyZone.com]]
	*Vascular injury that reduces cerebral blood flow to specific region of brain causing neuro impairment		*Vascular injury that reduces cerebral blood flow to specific region of brain causing neuro impairment
	*Accurate determination of last known time when patient was at baseline is essential		*Accurate determination of last known time when patient was at baseline is essential
	*In-hospital mortality of 5-10% for ischemic stroke and 40-60% for hemorrhagic stroke		*In-hospital mortality of 5-10% for ischemic stroke and 40-60% for hemorrhagic stroke
	*Only 10% of stroke survivors will recover completely		*Only 10% of stroke survivors will recover completely
	~~[[File:23-Sensory-Homonculus.png\|thumb\|Sensory Homonculus - courtesy AnatomyZone.com]]~~

	{{Ischemic Stroke Cause}}		{{Ischemic Stroke Cause}}

2020-06-22T19:27:40Z

Management

@@ Línea 63: / Línea 63: @@
 {{BP Goals in Acute Stroke}}
-===Common Medications for BP Control in Acute [[Stroke]]===
+{{Common Medications for BP Control in Acute Stroke}}
 ==Disposition==

2020-06-22T19:27:05Z

Management

← Revisión anterior		Revisión del 19:27 22 jun 2020
Línea 62:		Línea 62:

	{{BP Goals in Acute Stroke}}		{{BP Goals in Acute Stroke}}

			===Common Medications for BP Control in Acute [[Stroke]]===
			{\| {{table}}
			\| align="center" style="background:#f0f0f0;"\|'''Agent'''
			\| align="center" style="background:#f0f0f0;"\|'''Typica Dose/Range'''
			\| align="center" style="background:#f0f0f0;"\|'''Onset of Action'''
			\| align="center" style="background:#f0f0f0;"\|'''Cautions/Contraindications'''
			\|-
			\| Labetalol\|\|10-20 mg IV push; may repeat x 1\|\|5 min\|\|Avoid in COPD, asthma, heart failure, bradycardia, heart block
			\|-
			\| Nicardipine\|\|IV infusion at 5 mg/h; titrate up by 2.5 mh/h q5-15 min; max 15 mg/h\|\|1-5 min\|\|Avoid in severe aortic stenosis
			\|-
			\| Clevidipine\|\|1-2 mg/h IV; titrate by doubling dose q2-5 min; max 21 mg/h\|\|2-4 min; short half-life\|\|Avoid in egg/soy allergy
			\|-
			\| Hydralazine\|\|10-20 mg IV; repeat q4-6 h\|\|10-20 min\|\|
			\|}

	==Disposition==		==Disposition==

2020-06-22T17:44:15Z

Management

@@ Línea 61: / Línea 61: @@
 ***Anticoagulation, with or without atrial fibrillation
-===BP Goals in Acute Stroke<ref>Cocchi MN, Edlow JA. Managing Hypertention in Patients with Acute Stroke. 2020. Annals of EM 75(6):767771</ref>===
+{{BP Goals in Acute Stroke}}
 ==Disposition==

2020-06-22T17:43:38Z

BP Goals in Acute StrokeCocchi MN, Edlow JA. Managing Hypertention in Patients with Acute Stroke. 2020. Annals of EM 75(6):767771

← Revisión anterior		Revisión del 17:43 22 jun 2020
Línea 64:		Línea 64:
	{\| {{table}}		{\| {{table}}
	\| align="center" style="background:#f0f0f0;"\|'''Stoke Type'''		\| align="center" style="background:#f0f0f0;"\|'''Stoke Type'''
	\| align="center" style="background:#f0f0f0;"\|'''Target BP (mm Hg)'''		\| align="center" style="background:#f0f0f0;"\|'''Target BP <br>(mm Hg)</br>'''
	\| align="center" style="background:#f0f0f0;"\|'''Notes'''		\| align="center" style="background:#f0f0f0;"\|'''Notes'''
	\|-		\|-

2020-06-22T17:43:11Z

Management

@@ Línea 60: / Línea 60: @@
 ***Dual antiplatelet therapy (as opposed in select cases of [[TIA]])
 ***Anticoagulation, with or without atrial fibrillation
 ==Disposition==

2019-09-06T00:55:52Z

Evaluation

← Revisión anterior		Revisión del 00:55 6 sep 2019
Línea 21:		Línea 21:
	[[File:Intracerebral heamorrage.jpg\|thumb\|[[Hemorrhagic stroke]] (i.e. spontaneous intracranial hemorrhage).]]		[[File:Intracerebral heamorrage.jpg\|thumb\|[[Hemorrhagic stroke]] (i.e. spontaneous intracranial hemorrhage).]]
	[[File:Posterior fossa hemorrhage.jpg\|thumb\|[[Hemorrhagic stroke]] in the posterior fossa.]]		[[File:Posterior fossa hemorrhage.jpg\|thumb\|[[Hemorrhagic stroke]] in the posterior fossa.]]
			[[File:Left MCA Stroke.png\|thumb\|12-lead ECG of a patient with acute stroke, showing large deeply inverted T-waves.]]
	'''Always obtain blood glucose, which is commonly overlooked (more embarrassing if you give tPA)'''		'''Always obtain blood glucose, which is commonly overlooked (more embarrassing if you give tPA)'''
	Find out last known normal of affected deficit and write it down in chart		Find out last known normal of affected deficit and write it down in chart

2019-09-06T00:53:00Z

Evaluation

← Revisión anterior		Revisión del 00:53 6 sep 2019
Línea 18:		Línea 18:

	==Evaluation==		==Evaluation==
	[[File:StrokeMCA overlay.png\|thumb\|Ischemic stroke with CT showing early signs of a middle cerebral artery stroke with loss of definition of the gyri and grey white boundary.]]		[[File:StrokeMCA overlay.png\|thumb\|[[Ischemic stroke]] with CT showing early signs of a middle cerebral artery stroke with loss of definition of the gyri and grey white boundary.]]
	[[File:Intracerebral heamorrage.jpg\|thumb\|[[Hemorrhagic stroke]] (i.e. spontaneous intracranial hemorrhage).]]		[[File:Intracerebral heamorrage.jpg\|thumb\|[[Hemorrhagic stroke]] (i.e. spontaneous intracranial hemorrhage).]]
	[[File:Posterior fossa hemorrhage.jpg\|thumb\|[[Hemorrhagic stroke]] in the posterior fossa.]]		[[File:Posterior fossa hemorrhage.jpg\|thumb\|[[Hemorrhagic stroke]] in the posterior fossa.]]

← Revisión anterior		Revisión del 17:43 22 jun 2020
Línea 64:		Línea 64:
	{\| {{table}}		{\| {{table}}
	\| align="center" style="background:#f0f0f0;"\|'''Stoke Type'''		\| align="center" style="background:#f0f0f0;"\|'''Stoke Type'''
	\| align="center" style="background:#f0f0f0;"\|'''Target BP (mm Hg)'''		\| align="center" style="background:#f0f0f0;"\|'''Target BP <br>(mm Hg)</br>'''
	\| align="center" style="background:#f0f0f0;"\|'''Notes'''		\| align="center" style="background:#f0f0f0;"\|'''Notes'''
	\|-		\|-