Browse categories and answer follow-up questions to refine your symptom profile.
Time critical priorities
Immediate stabilization
If airway compromise or persistent vomiting, airway protection pathway
If GCS < 13, escalation to resuscitation bay
If aspiration risk, suction and positioning
Point of care glucose
If glucose < 3.0 mmol/l, IV dextrose per hypoglycemia protocol
If glucose > 10 mmol/l, insulin strategy per local protocol
Vital sign instability
If SBP < 90 mmHg, IV isotonic crystalloid bolus and shock evaluation
If SBP > 220 mmHg, hypertensive emergency evaluation and IV therapy pathway
Temperature
If fever, infectious source evaluation and antipyretic therapy
Stroke system activation
Last known well time
Exact clock time
Wake up symptoms
Neurology or stroke team notification
If active focal deficit, acute stroke pathway rather than TIA pathway
If recurrent stereotyped events, seizure pathway overlap
Antithrombotic safety screen
Recent intracranial hemorrhage
Active bleeding
Platelet disorder history
Immediate decision points
High risk features
Crescendo events
Two or more episodes within 24 hours
Increasing duration or severity
Motor weakness
Unilateral arm or leg weakness
Speech with weakness
Speech disturbance
Aphasia
Dysarthria
Posterior circulation symptoms
Diplopia
Ataxia
Vertigo with focal findings
Anticoagulant use
Warfarin
DOAC
Atrial fibrillation
Known diagnosis
New irregular rhythm
Immediate exclusion of hemorrhage and mimics
Noncontrast CT head early in pathway when available
Alternative diagnosis consideration
Baseline for future change
Hypoglycemia exclusion
Glucose correction and symptom reassessment
Seizure with postictal deficit consideration
Witnessed convulsion
Tongue bite
Monitoring targets
Physiologic targets
Oxygen saturation 94 to 98 percent
Temperature normothermia
Glucose 4 to 10 mmol/l
SBP target individualized
Avoid rapid BP reduction without hypertensive emergency
If thrombolysis not planned, permissive hypertension approach per stroke pathway
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.