STROKE/TIA CHECKIST Name__________________ Date of stroke ...

STROKE/TIA CHECKIST Name_____ Date of stroke/TIA Age____ = yes o = no Stroke symptom. s. R/L hemiparesis. R/L hemianaesthesia. Hemianopia. Viaual/tactile inattention. Dysphasia. Dysarthria. Cerebellar symptoms. Brain stem symptoms. Swallowing problems. Incontinence. Urinary catheter. Other. CT head result. normal ................
................