Neurology Book

Cardiovascular Medicine

Cognitive Disorders

Ophthalmology

Cerebellar Disorders

Motor Disorders

Otolaryngology

Level of Consciousness

Cerebrospinal Fluid Disorders

Sensory Disorders

Approach

Headache Disorders

Infectious Disease

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Cincinnati Prehospital Stroke Scale

Aka: Cincinnati Prehospital Stroke Scale
  1. Criteria: Assign one point for each of the 3 criteria
    1. Facial droop
      1. Patient shows teeth
      2. Abnormal if asymmetric
    2. Arm Drift
      1. Patient holds arms out in front of them, with eyes closed for 10 seconds
      2. Abnormal if one arm unable to be raised or drifts from starting position
    3. Dysarthria
      1. Patient repeats "you can't teach an old dog new tricks"
      2. Abnormal if slurred speach or uses inappropriate words or does not respond verbally
  2. Interpretation
    1. Score 1: Correlates with CVA in 72% of cases
    2. Score 3: Correlates with CVA in 85% of cases
  3. References
    1. Kothari (1997) Acad Emerg Med 4:986-90 [PubMed]
    2. Kothari (1999) Ann Emerg Med 33:373-8 [PubMed]

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