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NIH Stroke Scale

General Principles: Administer stroke scale items in the order listed. Record performance in each category after each subscale exam. Do not go back and change scores. Follow directions provided for each exam technique. Scores should reflect what the patient does, not what the clinician thinks the patient can do. The clinician should record answers while administering the exam and work

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Hypertensive Emergency

A summary of the hypertensive emergency treatment guidelines from: 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines Full Text     PubMed Acute Aortic Dissection Preferred drugs: esmolol, labetalol Reduce SBP to < 120 mm HG within

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Asymptomatic Hypertension

Definition of hypertension:1 Normal: 120/80 or less Pre-hypertension: 120-139/80-89 Stage 1: 140-149/90-99 Stage 2:  >160/>100 Is there evidence to suggest that immediate and rapid blood pressure reduction is beneficial in patients with hypertension and NO other symptoms ? JNC-71 “However, there is no evidence to suggest that failure to aggressively lower BP in the ER is associated with any increased

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Pediatric Seizure Recurrence

Recurrence rate after first unprovoked seizure 1: 6% recurrence within 48 hours ( 1 in 16 ) 15.8% recurrence within 14 days (1 in 6) 31.5% recurrence within 4 months ( 1 in 3 ) Age less than 3 yo at onset increases 14 days recurrence, OR 2.1 29% recurrence within 1 year 3 37% recurrence within 2 years 3 43% recurrence within

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