Systematic approach to diagnosis and initial management of stroke.
Title
Systematic approach to diagnosis and initial management of stroke.
Creator
Smucker W D; Disabato J A; Krishen A E
Publisher
American Family Physician
Date
1995
1995-07
Description
Stroke is a medical emergency with high rates of mortality and morbidity. Ischemic stroke should be distinguished from hemorrhagic stroke. Indicators of hemorrhagic stroke include coma, vomiting, severe headache, a systolic blood pressure greater than 220 mm Hg and a blood glucose level of 170 mg per dL (9.4 mmol per L). Essential elements of the physical examination include assessment of level of consciousness, speech, cognitive abilities, visual fields, extraocular muscle function, motor function and gait. Computed tomography or magnetic resonance imaging should be performed. The main goal of treatment is to maximize physical and cognitive function by limiting acute complications and facilitating rehabilitation. The role of the family physician is to stabilize the patient's condition, coordinate a multidisciplinary team and guide the patient, as well as the patient's family, through the process of recovery.
Subject
Humans; Brain Ischemia/complications; Cerebral Hemorrhage/complications; Cerebrovascular Disorders/complications/*diagnosis/etiology/*therapy; Diagnosis; Differential
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
225–234
Issue
1
Volume
52
Citation
Smucker W D; Disabato J A; Krishen A E, “Systematic approach to diagnosis and initial management of stroke.,” NEOMED Bibliography Database, accessed April 24, 2024, https://neomed.omeka.net/items/show/5645.