Paucis Verbis card: NIH Stroke Scale

StrokePatients present with acute strokes to the Emergency Department. Time is of the essence to obtain a rapid neurologic exam, draw labs, get CT imaging, and consulting a neurologist especially if the patient presents within 3 hours of onset. To help the neurologist determine whether the patient should get thrombolytics, calculating a NIH Stroke Scale score is useful.w

In this installment of the Paucis Verbis (In a Few Words) e-card series, here is the NIHSS scoresheet.

Score 0No stroke
Score 1-4Minor stroke
Score 5-15Moderate stroke
Score 16-20Moderate-severe stroke
Score 21+Severe stroke

PV Card: NIH Stroke Scale


Go to ALiEM (PV) Cards for more resources.

By |2021-10-19T19:07:03-07:00Feb 26, 2010|ALiEM Cards, Neurology|

Paucis Verbis card: TIA prognosis

Stroke

Here is another installment of the Paucis Verbis (In a Few Words) e-card series on the topic of Transient Ischemic Attacks (TIA) from EM Clinics of North America. I use this card a lot specifically for the ABCD2 risk-stratification score.

PV Card: Transient Ischemic Attacks


Adapted from [1]
Go to ALiEM (PV) Cards for more resources.

Reference

  1. Ross M, Nahab F. Management of transient ischemia attacks in the twenty-first century. Emerg Med Clin North Am. 2009;27(1):51-69, viii. [PubMed]
By |2021-10-19T19:18:21-07:00Jan 8, 2010|ALiEM Cards, Neurology|

Paucis Verbis Card: CNS Infections

PV Card: CNS Infections

Here is another installment of the Paucis Verbis (In a Few Words) e-card series on the topic of CNS infections from EM Clinics of North America 2009.

 


Adapted from [1]
Go to ALiEM (PV) Cards for more resources.

Reference

  1. Somand D, Meurer W. Central nervous system infections. Emerg Med Clin North Am. 2009;27(1):89-100, ix. [PubMed]
By |2021-10-19T19:19:54-07:00Dec 29, 2009|ALiEM Cards, Infectious Disease, Neurology|

Article review: Neuro exam documentation

Medicolegal woes often can be tracked back to poor documentation by the physician.

This article is a retrospective chart review of 384 EM resident charts, focusing on the documentation of the neurologic exam. Charts were selected if their chief complaints were neurologic or psychiatric in nature. A non-validated measurement tool for evaluating a neurologic exam was created based on discussions with attending emergency physicians. I have to agree with the chosen criteria. Documentation in each of the following criterion receives 1 point for a maximum score of 8.

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