11.

08

13.8 40.6

333.0 176.0 3.9 lipitor

105.0 22.0

14.0 0.97 6.9 insulin

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 mitral valve replacement, off coumadin for past 3 weeks, who was transferred to AGH from Forbes hosp. Woke up this AM at 0220 with dysarthria, L facial droop, and L weakness. Fell to left side. Taken to Forbes. NIHSS 22.

12.56

14.7 43.8

139.0 270.0 4.2 statin

105.0 25.0

14.0 0.94 5.8 none

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, old Rt MCA infarct, s/p Rt CEA in 2007 and rt carotid stent in 2010, redo of rt CEA April 2013 when pt was admitted with rt monoocular blindness admitted as stroke alert.

8.83

16.4 50.6 139.0

138.0 125.0 3.6 atorvastatin

99.0 30.0

9.0 0.59 10.2 insulin gtt

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 Allekiski with a R occipital ICH in setting of HTN (sbp>250). NIHSS 1

7.24

11.8 35.6 46.0

135.0 169.0 3.5 at target

107.0 20.0

6.0 0.53 5.5 at target

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. Pt had sudden onset of Generalized weakness followed by L sided hemiplegia lasting 5 min. At OSH she had HA with L hemiparesis. She was flown to AGH. On arrival she had a NIHSS of 4 and worsened to 9. Pt brought to angio on 6/19 and had clot retrieval. NIHSS post procedure 1

10.66

11.8 37.8

142.0 218.0 5.7

101.0 34.0

62.0 1.42 pending

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, admitted as stroke alert. Pt has an extremely poor hygiene. As per documentation pt was last seen normal at about 9 pm yesterday night by her sister and later this morning around 10 am sister found pt to have left sided weakness, slurred speech and facial droop. NIHSS 17

7.19

9.2 29.8 90.0

140.0 234.0 4.2 lipitor

105.0 28.0

19.0 1.05 pending

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 per wife), h/o seizures on tegretol, H/O meningioma admitted as stroke alert. As per family pt was last normal at 11:30 am this morning when he suddenly had rt visual field cut and started having slurred speech. NIHSS 1 but symptoms later improved

8.6

8.7 27.2 55.0

146.0 269.0 3.8 statin

111.0 31.0

15.0 1.02 6.7 insulin

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 where pt was admitted on 6/1/13 with 2 day H/O headach dizziness, nausea and gait unsteadiness, was found to have Lt Cerebellar infarct. Later today on 6/4/13 pt was found to have worsening edema with Lt cerebellar infarct and hydrocephalus and hence was transferred to AGH for further evaluation.

8.82

13.8 42.0 5.1

141.0 192.0 3.9

105.0 28.0

10.0 0.6 65.0

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 trouble talking that resolved. At 9:30pm she then had right facial droop with trouble walking with her leg. EMT say she was aphasic in the bus. Symptoms slowly resolving on presenting to agh. NIHSS of 4, which went to a zero in 30 mins. No TPA given

6.68

7.8 24.7 76.0

141.0 298.0 3.4 at target

103.0 26.0

39.0 11.2 6.8 insulin

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 medicine service for work-up of nausea, vomit and HA On 6/19/13 fell in the unit abd CTH showed bilateral cerebellar strokes. Transferred to our service. Initial NIHSS ~6

10.59

10.9 33.9

139.0 243.0 3.3 none

106.0 24.0

23.0 1.65 5.8 none

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, CKDIII, CAD, hyperlipidemia, BPH, GERD, upper extremity DVT, s/p cataract surgery, cervical radiculopathy s/p C7-T1 foraminotomy with residual sensory deficits mostly in ulnar distribution of LUE, TIA X2, s/p recent h/o endovascular abdominal aortic aneursym repair and Coil embolization of the left hypogastric aneurysm. on 4/29/13 admitted as stroke alert. NIHSS increased to 7 after worsening aphasia. IVtpa given

8.44

10.1 30.7 93.0

137.0 179.0 3.7 statin

101.0 28.0

11.0 0.38 10.4 insulin

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 she woke up this morning and had generalisd headache, went to work and at about 8 am had sudden onset slurred speech and lt sided weakness, facial droop, the episode lasted for about 2-3 mins and then she improved, taken to East liver pool hospital,

10.97

9.2 28.2

144.0 419.0 3.8 none

109.0 28.0

16.0 0.86 9.2 insulin

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 admitted for aphasia and dysarthria. NIHSS 2.

12.0

9.7 31.1

140.0 350.0 4.2

105.0 27.0

34.0 0.75 10.7

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 CHF, ishcemic cardiomyopathy, EF 5-10%, s/p AICD/pacer, COPD, Ex smoker admitted for LVAD evaluation. Pt was admitted with multiple syncopal episodes,

15.28

11.3 33.3

139.0 317.0 3.9

109.0 22.0

5.0 0.61 5.8

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 cocaine use in past, anxiety, depression, fibromyalgia, who presented to AGH as a stroke alert. At 7:15pm, had sudden onset of L weakness, leaning to R, nonverbal. Here, also had L hemianopsia, R INO. NIHSS 22.

18.39

11.2 34.1

138.0 263.0 4.3 simvastatin

103.0 26.0

32.0 0.92 6.0 at target

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 stroke alert. Pt had sudden onset confusion with rt sided weakness and facial droop, brrought as stroke alert. Here at AGH ED pt was cognitively slow, NIHSS was 0 but had B/L Plantars extensor on examination.

7.24

10.4 32.7

134.0 191.0 4.2

94.0 27.0

26.0 5.28

06-20-1313:45TempC 36.4-36.9BP 109/66-154/76HR 74-83RR 18-20