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Suspected Stroke Clinical Pathway, Emergency Department – History and Physical

Suspected Stroke Clinical Pathway — Emergency Department

History and Physical Exam

Stroke Screening Questions

HPI
  • Time of onset of symptoms
  • Time child last well
  • Time child last ate or drank
  • Focal neurologic changes:
    • Speech difficulty
    • Difficulty walking
    • Dizziness
    • Changes in vision
    • Focal weakness
  • Mental status abnormality
  • Seizure activity
  • Recent illness, fever, GI or URI symptoms
  • Recent trauma, neck pain
  • Presence of dental hardware
Past Medical History
Family History Coagulation disorder
Physical Exam Pediatric NIH Stroke Scale   or complete neurological exam

 

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