Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with sudden onset of focal neurological deficits, including [hemiparesis/aphasia/sensory loss], associated with severe headache, nausea, and vomiting. History significant for poorly controlled chronic hypertension. Symptoms progressed rapidly over [minutes/hours]. No history of trauma, coagulopathy, or anticoagulant use.
Clinical Examination Findings
Vitals: BP [value] mmHg (hypertensive urgency/emergency), HR [value] bpm, RR [value] bpm, SpO2 [value]%. General: Patient appears [distressed/lethargic/comatose]. Cardiovascular: Regular rhythm, no murmurs. Pulmonary: Clear to auscultation bilaterally. Abdomen: Soft, non-tender. Skin: No signs of trauma or petechiae.
Treatment Protocol
1. Immediate blood pressure management targeting SBP <140 mmHg using IV antihypertensives (e.g., Nicardipine/Labetalol). 2. Neuro-ICU admission for close monitoring. 3. Seizure prophylaxis if indicated. 4. Correction of coagulopathy if present. 5. Neurosurgical consultation for potential hematoma evacuation (if mass effect/midline shift present). 6. DVT prophylaxis.