ED stroke alert note
PROGRESS · Dr. C. Yamamoto · Mar 7, 2026, 3:40 AM
72F with acute L MCA syndrome — R hemiplegia and global aphasia. LKW 90 min ago. NIHSS 14. CT head negative for hemorrhage. Within tPA window. Known AFib, not on anticoagulation.
PS
Patrick Sullivan, MD
Attending Physician
Active Chart · MRN SYN-1013
Barbara White
72 y/o F · Acute ischemic stroke
Chart Review
Encounter timeline and laboratory review
Encounter timeline
Linked visit history and responsible clinicians.
Inpatient
OPENAcute ischemic stroke · Dr. Nathan Cross
Started Mar 7, 2026, 3:15 AM
Labs
Recent resulted values for the active encounter.
| Collected | Test | Value | Reference |
|---|---|---|---|
| Mar 7, 2026, 3:25 AM | Creatinine | 0.9 mg/dL | 0.6-1.2 |
| Mar 7, 2026, 3:25 AM | INR | 1.0 | 0.9-1.1 |
| Mar 7, 2026, 3:25 AM | Platelet count | 198 K/uL | 150-400 |
| Mar 7, 2026, 3:25 AM | Glucose | 142 mg/dL | 70-110 |
SIGNED
Notes
Progress and clinical documentation
ED stroke alert note
PROGRESS · Dr. C. Yamamoto · Mar 7, 2026, 3:40 AM
72F with acute L MCA syndrome — R hemiplegia and global aphasia. LKW 90 min ago. NIHSS 14. CT head negative for hemorrhage. Within tPA window. Known AFib, not on anticoagulation.
Orders
Medication, lab, and imaging entry
CBC
LAB · Mar 7, 2026, 3:20 AM
Parameters: STAT
Rationale: Pre-thrombolytic lab panel.
CT head without contrast
IMAGING · Mar 7, 2026, 3:20 AM
Parameters: STAT
Rationale: Rule out hemorrhagic stroke.
Wrap-Up
Finalize documentation and orders
Signing this visit finalizes notes and promotes all remaining draft or pending orders to signed.