Stroke - My Stick Note

Stroke Stick Note

 

Presented in ### on ### with ###.

PMH

NIHSS (scored)
TNK; MT TICI

Stroke work-up
CTH: 
CTA H/N: 
MRI Brain: 
TTE: 
A1c: 
LDL: 
Smoking: 

Etiol

Therap

-----------------------------

Presented in ### on ### with ###.

- as succinct as possible

- only report major weakness

- if non-neuro symptom, describe the main symptom

PMH

- if prior stroke; localize, etiology, and deficits

Example: R MCA stroke (LAA, no deficits)

- focus on antithrombotics and AC, explain why was patient taking AC

Example: apixaban 2/2 Afib

NIHSS

- score, and sections

Example: NIHSS 5 (face, arm, leg, and aphasia)

TNK

- Y/N, reason why not administered

MT

- report TICI

Stroke work-up

CTH

- infarcts (new, chronic) and hemorrhages

- hyperdense MCA

CTA H/N

- LVO? MEVO?

- decreased flow

CTP

- mismatch? Stroke completed?

DSA

- TICI, occlusion, sub-occlusion, thrombus

MRI Brain

- new/old infarct and area

- hemorrhagic transformation?

TTE

- LVEF, PFO, LAD, LVT

A1c

- new

LDL

- only value

Smoking

- packs-year

Etiol

- read stroke etiology

Therap

- ASA, clopdiogrel, ticagrelor load and maintenance

- AC

- statin