Rhcastilhos – Gray519.png、パブリックドメイン、https://commons.wikimedia.org/w/index.php?curid=1597012 Rhcastilhos – Gray519.png、パブリックドメイン、https://commons.wikimedia.org/w/index.php?curid=1597012
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(5) Symptom check: Check LNT and FAT – last normal time, first abnormal time 1. Sensory loss (as if anesthetized or not the skin of the person) or numbness in the face, arms, or legs in one direction 2. Muscle weakness in one-way arms and legs (losing things because of difficulty in writing) It’s hard to walk. (Even if I try to walk straight forward, I start to lean to one side and my shoes get pulled) 3. paralysis of the mouth (limiting the lips to return to one side when speaking and appear to walk while spilling food). (Growing up). 5, meaningless) 6. Dizziness 7.Double vision (things appear to overlap up and down or left and right) 8. Headache and vomiting (6) Image Inspection (5) Symptom Check: LNT and FAT – last normal time, first abnormal time 1. Sensory loss (as if anesthetized or not the skin of the person) or numbness in the face, arms, or legs in one direction 2. Muscle weakness in one-way arms and legs (losing things because of difficulty in writing) It’s hard to walk. (Even if I try to walk straight forward, I start to lean to one side and my shoes get pulled) 3. paralysis of the mouth (limiting the lips to return to one side when speaking and appear to walk while spilling food). (Growing up). 5, meaningless) 6. Dizziness 7.Double vision (things appear to overlap up and down or left and right) 8. Headache and vomiting (6) image inspection
(7) 진단검사 1. It is viscosity and antiplatelet test 2. Full blood count, glucose, lipid, cholesterol, CRP or ESR, HbA1c 3.D dimer, homocysteine, INR, aPTT , fibrinogen , HIV , syphilis , virus marker , TFT , LFT , kidney cell , heart marker and cancer marker 4. Young laboratory 5. DMhx 및 new DM: DM lab (insulin, C peptide, glucose fasting, urinary A/C ratio) 행 (8) NIHSS (National Institute of Health and Stroke) 1.11 항목 구성、총점이 높을 수록 신경학적 결손 큼.2.점수 비교하여 증상의 호전이나 악화 여부를 객관적으로 판단。 예후 예측. 3. 치명률을 포함하여 뇌졸중의 불량한 예후를 예측. 4. NIHSS 점수 악화가 보이면 바로 NR dr noti 5. NIHSS 항목에 없는 특이 증상 (두통, 어지러움, 딸꾹질, 지속적인 하품, 경련, 복시, 안검하수 등)이 있는 경우 NIHSS 해당되지 않더라도 NR dr noti 6. sNIHSS : NIHSS는 4시간 간격으로 수행되고, 기록 필요. tPA 혹은 IAT, stent insertion 으로 인해 더 자주 신경학적 증상 이상을 확인하기 위해 sNIHSS시행.의식, 의식관련 질문, 근력, 최상의 언어능력, 구음장애 확인。 (7) 진단검사 1. It is viscosity and antiplatelet test 2. Full blood count, glucose, lipid, cholesterol, CRP or ESR, HbA1c 3.D dimer, homocysteine, INR, aPTT , fibrinogen , HIV , syphilis , virus marker , TFT , LFT , kidney cell , heart marker and cancer marker 4. Young laboratory 5. DMhx 및 new DM: DM lab (insulin, C peptide, glucose fasting, urinary A/C ratio) 행 (8) NIHSS (National Institute of Health and Stroke) 1.11 항목 구성、총점이 높을 수록 신경학적 결손 큼.2.점수 비교하여 증상의 호전이나 악화 여부를 객관적으로 판단。 예후 예측. 3. 치명률을 포함하여 뇌졸중의 불량한 예후를 예측. 4. NIHSS 점수 악화가 보이면 바로 NR dr noti 5. NIHSS 항목에 없는 특이 증상 (두통, 어지러움, 딸꾹질, 지속적인 하품, 경련, 복시, 안검하수 등)이 있는 경우 NIHSS 해당되지 않더라도 NR dr noti 6. sNIHSS : NIHSS는 4시간 간격으로 수행되고, 기록 필요. tPA 혹은 IAT, stent insertion 으로 인해 더 자주 신경학적 증상 이상을 확인하기 위해 sNIHSS시행.의식, 의식관련 질문, 근력, 최상의 언어능력, 구음장애 확인.
(9) ECG, general video test performed ECG: Acute myocardial infarction can cause stroke, and acute stroke can cause myocardial infarction. Arrhythmia can occur, so it is important to detect atrial fibrillation. X線:cardiomegaly、pleural effeusion、aspiration pneumoniaなどの情報提供. (10) W/O test 1. Conducted to determine the cause of Stroke and to obtain additional information on other systemic vascular conditions, heart conditions, and cerebrovascular conditions. 2. If the stroke progression proceeds, press or hold the inspection after the inspection progresses. 3. Type (9) ECG, general video test performed ECG: Acute myocardial infarction can cause stroke, and acute stroke can cause myocardial infarction. Arrhythmia can occur, so it is important to detect atrial fibrillation. X線:cardiomegaly、pleural effeusion、aspiration pneumoniaなどの情報提供. (10) W/O test 1. Conducted to determine the cause of Stroke and to obtain additional information on other systemic vascular conditions, heart conditions, and cerebrovascular conditions. 2. If the stroke progression proceeds, press or hold the inspection after the inspection progresses. 3. type
Chest CT(++)[ecgated traffic aorta] If GFR is not good due to the use of NPO required contrast medium for 2 hours, it may be put on hold. The NTG sublingual tablet administration during the examination may complain of discomfort after the examination. A PFO ovarian co-opresist test is performed in the ultrasound room of the cranial nerve center where two tests, TCD and carotid ultrasound, are performed simultaneously. Tried in the ultrasound room of the cranial nerve center. Rt.arm 18G + 3way 2EA + NS fluid connection bubble If not captured, it can fail. ABipheral artery disease identification can easily identify the cardiac ultrasound test CT as well as anatomical shape, function and failure of the heart. Performed when blood clots, valve function, endocarditis confirmation, EF confirmation, 24hrholter arrhythmia capture is required, additional 48 hours and 72 hours of examination are possible if necessary. If the possibility of CE is highly suspected, but arrhythmia cannot be detected, it may be put on hold if GFR is not good due to the use of an NPO necessary contrast agent for 2 hours after ILR insertion under IMC consultation. The NTG sublingual tablet administration during the examination may complain of discomfort after the examination. A PFO ovarian co-opresist test is performed in the ultrasound room of the cranial nerve center where two tests, TCD and carotid ultrasound, are performed simultaneously. Tried in the ultrasound room of the cranial nerve center. Rt.arm 18G + 3way 2EA + NS fluid connection bubble If not captured, it can fail. ABipheral artery disease identification can easily identify the cardiac ultrasound test CT as well as anatomical shape, function and failure of the heart. Performed when blood clots, valve function, endocarditis confirmation, EF confirmation, 24hrholter arrhythmia capture is required, additional 48 hours and 72 hours of examination are possible if necessary. If the possibility of CE is highly suspected, but arrhythmia cannot be captured, IRC will be inserted under IMC consultation and tracked in the outpatient department
11) Symptoms due to location of cerebral infarction 11) Symptoms due to location of cerebral infarction