stroke

such a massive topic it is an entire specialty...

ROSIER - recognition in ED

ROSIER > 0 = cannot exclude

  • LOC/syncope -1
  • Seizure -1
  • Asymmetric facial weakness +1
  • Asymmetric arm weakness +1
  • Asymmetric leg weakness +1
  • Speech disturbance +1
  • Visual field defect +1

Stroke mimics

  • hypoglycaemia
  • todd's paresis (that's why seizure is -1 on rosier)

thrombolysis