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 October 20, 2021, https://neomed.omeka.net/items/show/5645.

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