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12 Cards in this Set
- Front
- Back
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presentation
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20 min episode slurred speech
right facial droop & numb wkness R hand resolution of s/s by ER |
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PMH
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HTN
DM heavy smoker |
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any STAT
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ER STAT
assess abcs o2 blood glucose IVNS CT HEAD |
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PE VS
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normal: temp, pulse, rr, O2 100% RA
BP: 150/90 HIGH, |
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PE
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WNL: gen/lung/cvs/abd/ext/neuro
+: neck: right carotid bruit |
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diff
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IC tumor
seizure stroke sub or epidural hematoma TIA |
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ER W/U
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cont cardiac monitoring
bp monitor ekg cbc chem 8 cxr pt/ptt/inr neuro consult |
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ER RX:
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ASA
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ward w/u
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repeat neuro exam
continuous cardio monitor bp monitor telemetry lipid profile hba1c echo ef 60% carotid duplex: >75% stenosis RCarotid |
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ward rx
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vascular sx consult
pt scheduled elective carotic endarterectomy asa |
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F/U
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counsel smoking cessation
treat htn, dm diabetic diet diabetic teaching treat cholesterol low fat low sodium diet |
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DX
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TIA
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