Enter your email address and we'll send you a link to reset your password. If your patient has prior known neurologic deficits e. MDCalc's version is an attempt to clarify many of these confusing caveats, but cannot and should not be substituted for the official protocol. There are nearly , cases of acute stroke in the United States every year, with , associated deaths 5th leading cause of death in Americans. Please fill out required fields.

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General Calculators. Addiction Medicine. Gupta Perioperative Cardiac Risk Determine peri-operative risk for a wide array of surgeries. Cardiac Surgery. Clinical Status Assessment. Intraoperative Monitoring. Cardiac Output - Fick Calculate cardiac output, cardiac index, stroke volume and stroke volume index. Preoperative Assessment. Adapted from CDC materials. Aortic Disease. Brugada Criteria for Ventricular Tachycardia ECG criteria to help differentiate ventricular tachycardia from supraventricular tachycardia.

Atrial Fibrillation. Bleeding Risk. Coronary Artery Disease. Familial Hypercholesterolemia. Familial Hypercholesterolemia Diagnose familial hypercholesterolemia. Heart Failure. Invasive Hemodynamics. Ischemic Stroke. Mitral Regurgitation. Mitral Stenosis. PCI and Cardiac Surgery. Pre-operative Assessment. Risk Scores. Treadmill Testing. Critical Care.

Cardiac ICU. Evaluation and general management of patients with and at risk for AKI. Hemodynamic monitoring and support for prevention and management of AKI. General supportive management of patients with AKI, including management of complications. General Medicine. Illness Severity. Medical ICU. The reference range for arterial iCa is 1. Rule of Nines Estimate surface area of burns.

Neurologic ICU. Respiratory ICU. Modified Mallampati Classification Oropharyngeal assessment used for predicting difficulty in laryngoscopy and endotracheal intubation. CCS Angina Class. Ottawa Knee Rules Does this knee injury require an x-ray? Pediatrics ER. Alberta Croup Severity. Dubbo Osteoporotic Fracture Risk Assess risk of osteoporotic fracture.

Thyroid disease. GI Bleed. Blatchford Score Assess if intervention is required for acute upper GI bleeding. Forrest Classification Estimate risk of re-bleeding post-endoscopy for upper GI bleeding. Rockall Score Estimate risk of mortality after endoscopy for GI bleed. Inflammatory Bowel Disease.

Geriatric Psychiatry. Kidney Disease. Neurocognitive Disorder. Benign Hematology. Expected spleen size Provides upper limit of normal for spleen length and volume by ultrasound relative to body height and gender. Body Surface Area. Malignant Hematology.

Hodgkin's Disease Prognosis Estimate prognosis in Hodgkin's disease. Smoldering Multiple Myeloma Prognosis Determine risk of progression to symptomatic multiple myeloma. Infectious Disease. Clostridium Difficile. Diagnostic Criteria. Febrile Neutropenia. Fever in Infants.

Respiratory Tract Infection. Medical Administration. Medical Imaging. Body Imaging. CT Severity Index Pancreatitis Predict complication and mortality rate in pancreatitis, based on CT findings Balthazar score Expected spleen size Provides upper limit of normal for spleen length and volume by ultrasound relative to body height and gender. Obstetrical imaging. Thrombosis imaging. Mental Health. Eating Disorder. Obsessive Compulsive Disorder. Post Traumatic Stress.

Sexual Function. Treatment Side Effects. Acute Kidney Injury. Chronic Kidney Disease. Anion Gap Calculate anion gap for use in acid-base disorders. Lupus Nephritis. Introduction Fundamentals of the Prescription. Maintenance of RRF. Polycystic Kidney Disease. Thrombotic Microangiopathy. Arteriovenous Malformation. Dermatome Map. Functional Outcome. Score taken at hospital admission. Score taken after 7 days of hospital admission.

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Solid Tumor.


National Institutes of Health Stroke Scale

For each item, a score of 0 typically indicates normal function in that specific ability, while a higher score is indicative of some level of impairment. The maximum possible score is 42, with the minimum score being a 0. While administering the NIHSS it is important that the examiner does not coach or help with the assigned task. The examiner may demonstrate the commands to patients that are unable to comprehend verbal instructions, however the score should reflect the patient's own ability.


NIH Stroke Scale/Score (NIHSS)

These bodies are dedicated to promoting wellness and better patient care in the field of stroke. It is our vision to provide all patients the best opportunity for survival. To modernize the global healthcare and clinical research system using global standards of care so that no patient is left behind, no matter what race, religion, socio-economic status, political affiliation or geographical location. Regulatory agencies, Ethical Review Committees and healthcare accreditation organizations now require that any healthcare professional, using the NIHSS as a patient diagnostic tool, must show continued competencies in the use of the tool in order to maximize inter-rater-reliability between diagnosticians and improve human subject protection and patient safety. The NIHSS was originally designed as a research tool to measure baseline data on patients in acute stroke clinical trials.

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