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Item Rule
All Score what you see, not what you think
All Score the first response, not the best response, except item 9 best language
All Do not coach
1a May be assessed casually while taking history
2 Only assess horizontal gaze
5 and 6 Count out loud and use your fingers to show the patient your count
Hasil pemeriksaan laboratorium > LED : 45 mm, Hb: 12,6, Ht: 32,6 %, leukosit:
8.800, trombosit:177.000, MCV: 83, MCH: 28,2, MCHC: 35, Hitung jenis : Basofil:
0,2, Eosinofil: 0,2, Neutrofil: 79, Limfosit: 17, Monosit: 3,6. Urinalis: warna
kuning jernih, sel epitel (+), leukosit 4-5, eritrosit 5-6, silinder (-), kristal
(-), bakteri (-), Bj: 1.010, pH: 7, protein negatif, glukosa negatif, keton
negatif, darah/Hb: 2, bilirubin negatif, urobilinogen 3,2, nitrit negatif,esterase
leukosit (+).
CT MRI
Detection of hemorrhage Detection of hemorrhage with SWI
Angiography, better resolution Angiography, non-contrast
Faster, more available, less restrictive Slower, limited availability, restrictive
environ
Radiation No radiation
Limited in posterior fossa Better detection in posterior fossa
Limited detection of small lesions Better detection of small lesions (DWI)
Less specific in detection of “stroke mimics” Better detection of “stroke
mimics,” especially on contrast-enhanced scans
NIHSS dan ETSS dikategorikan dalam 4 level yaitu 0, 1-3, 4-23 dan lebih dari 23.
* 4<NIHSS<23 dalam pemberian rtPA,
* NIHSS<4 || NIHSS>23 tidak dapat diberikan fibrinolitik atau rtPA
Original version
Siriraj stroke score =(0 80 x consciousness) + (0 66 x vomiting)
+ (0.66 x headache) + (0 03 x diastolic blood pressure)
- (0 99 x atheroma) - 3 71
Simplified version
Siriraj stroke score=(2.5 x consciousness) + (2 x vomiting) +
(2 x headache) + (0 1 x diastolic blood pressure) - (3 x atheroma) - 12
Consciousness: alern = 0; drowsy, stupor =1; semicoma, coma =2
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