000452018
CTH: L cerebellar hypodensity with petechial hemorrhage and mild m CTA h/c right M1 nonocclusive thrombus TTE EF 65. NLA no PFO
11.08
135.0
06-20-1323:46TempC 36.4-36.8BP 121/49-147/86HR 85-100RR 18-24 71 yo CM with PMH of recent L cerebellar hemorrhage 3 weeks ago, HTN, HLD, DM, A.fib, St. Jude
replacement, off coumadin for past 3 weeks, who was transferred to AGH from Forbes hosp. Wok
at 0220 with dysarthria, L facial droop, and L weakness. Fell to left side. Taken to Forbes. NIHSS 2
aspirin En: Tablet 81 mg chlorhexid: Liquid 15 mil digoxin: Tablet 0.25 m diltiazem : Capsule 360 mg polyethyle: Powder 17 gra sodium chl:sodium chl: 1,000
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DALESANDRY,
001673243
CTA head and neck - high-grade right carotid stenosis unchanged fro TEE EF 25. no PFO. NLA pneumonia
12.56
93.0
06-20-1311:51TempC 36.7-37.1BP 103/66-166/86HR 88-104RR 18-20 54 YR CM with PMH HTN, HLD, CAD s/p stents, ischemic cardiomyopathy EF 30%, s/p AICD/pacer with rt monoocular blindness admitted as stroke alert.
infarct, s/p Rt CEA in 2007 and rt carotid stent in 2010, redo of rt CEA April 2013 when pt was adm
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DAUM, DENISE
002065082
3 CTH- R occipital ICH no significant stenosis or aneurysm no significant stenosis or aneurysm TTE EF 50. mildly dilated LA. No PFO respiratory failure
8.83
139.0
06-20-1320:08TempC 36.7-37BP 150/80-164/87HR 73-89RR 18-20 55 YO CF with PMHx of COPD , spinal stenosis, PVD,hypothyroidism, presents as a transfer from with a R occipital ICH in setting of HTN (sbp>250). NIHSS 1
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DINSMORE, DAN
002065211
2 right MCA stroke right M1 occlusion RICA occlusion TTE NLA, EF 60. PFO Vs ASD, recommend
7.24
46.0
06-21-1300:00TempC 36.7-36.8BP 101/49-111/66HR 65-74RR 15-18 25 YO CF with no PMHx but who is 13 weeks pregnant presents as a transfer from Elk Hospital. P
onset of Generalized weakness followed by L sided hemiplegia lasting 5 min. At OSH she had HA angio on 6/19 and had clot retrieval. NIHSS post procedure 1
hemiparesis. She was flown to AGH. On arrival she had a NIHSS of 4 and worsened to 9. Pt brou
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FENTON, BRUC
000145118
10.66
pending
06-20-1312:00TempC 35.9-37.1BP 97/60-122/75HR 68-83RR 20-26 61 yr CM with PMH HTN, Afib not on AC, Hypothyroidism, HLD, CHF, CKD, CAD, dilated CM, admit alert. Pt has an extremely poor hygiene. As per documentation pt was last seen normal at about weakness, slurred speech and facial droop. NIHSS 17
yesterday night by her sister and later this morning around 10 am sister found pt to have left side
ampicillin: 1.5 gr aspirin Ta:aspirin Ta: - Chewable chlorhexid: Liquid 15 mil digoxin: Solution 0.125 levothyrox: Tablet 125 mc pravastati: Tablet 10 mil predniSONE: Tablet 40 mil
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FINNEGAN, ROB
000077105
7.19
90.0
06-20-1322:00TempC 36.2-36.7BP 102/64-117/73HR 58-63RR 18-18 62 yr CM with PMH TIA on Aggrenox, ?LT frontal malignant tumor s/p resection in 1984 (?GBM as
h/o seizures on tegretol, H/O meningioma admitted as stroke alert. As per family pt was last norm but symptoms later improved
11:30 am this morning when he suddenly had rt visual field cut and started having slurred speech
dipyridamo: 1 caps famotidine: Tablet 20 mil heparin: : - 5,000 unit(s) sodium chl:sodium chl: 1,000
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HOSTETLER, BR
001999757
17
left vert occlusion EF 75. mildly dilated LA. No PFO fever, penumonia
8.6
06-20-1322:00TempC 37-37.2BP 141/61-157/74HR 79-92RR 11-21 70 yr CM with PMH HTN, HLD, DM, CAD s/p stents, Hypothyroidism, OSA transferred from AVH wh
admitted on 6/1/13 with 2 day H/O headache, dizziness, nausea and gait unsteadiness, was found and hydrocephalus and hence was transferred to AGH for further evaluation.
Cerebellar infarct. Later today on 6/4/13 pt was found to have worsening edema with Lt cerebellar
atorvastat: Tablet 10 mil cefazolin : 1 gram chlorhexid: Liquid 15 mil docusate-s: Tablet 1 tabl lisinopril: Tablet 5 mill Omeprazole: 40 mil Omeprazole: 40 mil phenytoin : 200 mi
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JOHNSON, BER
001637620
1 MRI negative negative negative TTE EF 60. mildly dilated LA. Large PFO
8.82
5.1
06-21-1300:30TempC 36.5-37.2BP 124/65-150/76HR 78-82RR 18-18 66 yr old female pmhx htnm hpl, cad with stents, MI 3yrs ago. Around 5pm noticed she had troub that resolved. At 9:30pm she then had right facial droop with trouble walking with her leg. EMT in 30 mins. No TPA given
was aphasic in the bus. Symptoms slowly resolving on presenting to agh. NIHSS of 4, which we
heparin: : - 5,000 unit(s) levothyrox: Tablet 100 mc pravastati: Tablet 40 mil sodium chl:sodium chl: 1,000
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KLINGAMAN, KR
001951828
CTH - bilateral cerebellar stroke R > L with acute hydrocephalus and m negative negative TEE on 6/24/13 EEG slow
6.68
76.0
06-21-1300:00TempC 36.9-36.9BP 127/71-151/84HR 84-100RR 15-20 40 y/o woman with DM1 on insulin pump, CAD s/p CABG, HTN, who was admitted on 6/17/13 to the cerebellar strokes. Transferred to our service. Initial NIHSS ~6
service for work-up of nausea, vomit and HA. On 6/19/13 fell in the unit abd CTH showed bilateral
atorvastat: Tablet 10 mil calcium ac: Tablet 2,001 chlorhexid: Liquid 15 mil Dextrose 5:Dextrose 5: 1,000
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MCCARTHY, JO
000422470
10.59
67.0
06-21-1300:11TempC 36.8-37.3BP 140/67-172/99HR 85-86RR 18-20 79 yr CM wtih PMH factor V leiden mutation, s/p renal thromboembolism now on coumadin, CKDI
hyperlipidemia, BPH, GERD, upper extremity DVT, s/p cataract surgery, cervical radiculopathy s/p
foraminotomy with residual sensory deficits mostly in ulnar distribution of LUE, TIA X2, s/p recen
endovascular abdominal aortic aneursym repair and Coil embolization of the left hypogastric ane
busPIRone: Tablet 10 mil chlorhexid: Liquid 15 mil heparin: : - 5,000 unit(s) omeprazole: Capsule 20 mil
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PILARCIK, CLAU
001900850
8.44
93.0
06-21-1300:00TempC 37.8-38.2BP /-/HR 76-81RR 11-16 60 yr CF with PMH HTN, HLD, uncontrolled DM, CAD s/p stents admitted as stroke alert. As per pt
this morning and had generalisd headache, went to work and at about 8 am had sudden onset slu East liver pool hospital,
and lt sided weakness, facial droop, the episode lasted for about 2-3 mins and then she improved
aspirin Ta:aspirin Ta: - Chewable cefepime: 1 gram chlorhexid: Liquid 15 mil docusate s: Liquid 100 mi multivitam: multivitam:
ergocalciferol 50,000
ergocalciferol 50,000
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STEBLER, LIND
000162473
15 no stroke
LICA origin 70% stenosis EEG negative pneumonia, respiratory failure, acute delirium
10.97
48.0
06-20-1323:47TempC 37.5-37.5BP 97/54-195/71HR 85-125RR 12-23 55 y/o woman with history of HTN, hyperlipidemia, DM2, CKD1, GERD, COPD, active smoker admi and dysarthria. NIHSS 2.
aspirin Ta:aspirin Ta: - Chewable atorvastat: Tablet 10 mil cefazolin : 1 gram chlorhexid: Liquid 15 mil insulin insulin multivitam: unit(s) NG/F...
ergocalciferol 50,000
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TALBOTT, BETT
001060171
28 Left MCA stroke CTA-LT MCA focal stenosis pending EEG normal
12.0
06-20-1322:15TempC 36.7-36.9BP /-/HR 85-91RR 13-20 59 yr CF with PMH HTN. HLD, DM, CAD s/p CABG and stents, Afib/Aflutter s/p ablation, systolic CH with multiple syncopal episodes,
cardiomyopathy, EF 5-10%, s/p AICD/pacer, COPD, Ex smoker admitted for LVAD evaluation. Pt w
aspirin Ta:aspirin Ta: 325 mi aspirin Ta:aspirin Ta: 325 mi chlorhexid: Liquid 15 mil Dextrose 5:Dextrose 5: 1,000
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WAGNER, BARB
001099898
2 brainstem stroke s/p thrombectomy basilar tip occlusion TTE EF 55. mild dila LA. No PFO UTI
15.28
66.0
06-20-1323:50TempC 37.7-37.8BP 130/66-156/77HR 74-76RR 13-20 59 yo CF with PMH of L MCA stroke in 2009, L vert stenosis, HTN, HLD, tobacco abuse, h/o cocain onset of L weakness, leaning to R, nonverbal. Here, also had L hemianopsia, R INO. NIHSS 22.
past, anxiety, depression, fibromyalgia, who presented to AGH as a stroke alert. At 7:15pm, had s
chlorhexid: Liquid 15 mil heparin: : - 5,000 unit(s) magnesium : 2 gram pantoprazo: 40 mil
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WILHELM, WILL
002064541
10
18.39
154.0
06-21-1300:15TempC 36.8-37.1BP 111/62-135/80HR 70-85RR 13-18 63 yr CM with PMH Hypercholesterolemia, Renal adenomas s/p resection, ?MGUS admited as stro pt was cognitively slow, NIHSS was 0 but had B/L Plantars extensor on examination.
sudden onset confusion with rt sided weakness and facial droop, brrought as stroke alert. Here a
cefepime: 1 gram chlorhexid: Liquid 15 mil ciprofloxa: 400 mi famotidine: Tablet 20 mil
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WOODS, RENEE
000795105
7.24
26.0 5.28
amlodipine: Tablet 10 mil aspirin En: Tablet 81 mil atorvastat: Tablet 80 mil carvedilol: Tablet 12.5 m omeprazole: Capsule 20 mil pregabalin: Capsule 75 mil salmeterol: 1 puff tiagabine: Tablet 4 mill
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