Here is an excellent link from EmCrit about diagnosis of posterior circulation strokes and the "HINTS" exam. >>LINK<<
Here is a sample Epic based dot phrase you can adopt for documentation:
Patients definition of dizziness: ***
Duration of symptoms: ***
Peripheral signs / symptoms: ***
Any elements of syncope or focal weakness / sensory changes?: {YES, NO, UNSURE:108699::NO}
Abnormal objective workup findings: ***
Abnormal findings on neuro exam: ***
Diplopia: {YES, NO, UNSURE:108699::NO}
Dysarthria: {YES, NO, UNSURE:108699::NO}
Dysphagia: {YES, NO, UNSURE:108699::NO}
Dysphonia: {YES, NO, UNSURE:108699::NO}
Dysmetria: {YES, NO, UNSURE:108699::NO}
Head Impulse Test: {YES, NO, UNSURE:108699::NO}
Nystagmus (vertical or rotatory): {YES, NO, UNSURE:108699::NO}
Test of skew abnormal?: {YES, NO, UNSURE:108699::NO}
Gait: {YES, NO, UNSURE:108699::NO}
Other cerebellar testing: {YES, NO, UNSURE:108699::NO}
Here is a sample Epic based dot phrase you can adopt for documentation:
Patients definition of dizziness: ***
Duration of symptoms: ***
Peripheral signs / symptoms: ***
Any elements of syncope or focal weakness / sensory changes?: {YES, NO, UNSURE:108699::NO}
Abnormal objective workup findings: ***
Abnormal findings on neuro exam: ***
Diplopia: {YES, NO, UNSURE:108699::NO}
Dysarthria: {YES, NO, UNSURE:108699::NO}
Dysphagia: {YES, NO, UNSURE:108699::NO}
Dysphonia: {YES, NO, UNSURE:108699::NO}
Dysmetria: {YES, NO, UNSURE:108699::NO}
Head Impulse Test: {YES, NO, UNSURE:108699::NO}
Nystagmus (vertical or rotatory): {YES, NO, UNSURE:108699::NO}
Test of skew abnormal?: {YES, NO, UNSURE:108699::NO}
Gait: {YES, NO, UNSURE:108699::NO}
Other cerebellar testing: {YES, NO, UNSURE:108699::NO}