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Related Concept Videos

Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
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Acute Coronary Syndrome III: Diagnostic Studies01:30

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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Related Experiment Video

Updated: Mar 29, 2026

Brain Infarct Segmentation and Registration on MRI or CT for Lesion-symptom Mapping
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Exposing Blind Spots: Missed Stroke Diagnoses.

Rubinee Simmasalam1, Ashwin Reddi1, Wan-Tsu W Chang2

  • 1Division of Neurocritical Care and Emergency Neurology, Department of Neurology, University of Maryland Medical Center, Baltimore, MD, USA.

Emergency Medicine Clinics of North America
|March 27, 2026
PubMed
Summary

Missed stroke diagnoses worsen outcomes. Improving stroke recognition through detailed history, exams, and high suspicion is crucial for patient care. A multidisciplinary approach is needed to reduce diagnostic errors.

Keywords:
BiasChameleonErrorMimicMissed diagnosisPitfallStroke

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Area of Science:

  • Neurology
  • Public Health

Background:

  • Stroke is a primary cause of adult disability.
  • Missed stroke diagnoses elevate morbidity and mortality rates.
  • Stroke mimics present diagnostic challenges.

Purpose of the Study:

  • To highlight factors contributing to missed stroke diagnoses.
  • To propose strategies for improving accurate stroke identification.
  • To emphasize the importance of early and correct stroke diagnosis.

Main Methods:

  • Review of factors leading to misdiagnosis.
  • Emphasis on clinical evaluation: detailed history and neurologic examination.
  • Discussion of multidisciplinary approaches for diagnostic improvement.

Main Results:

  • Missed diagnoses stem from various factors, including stroke mimics.
  • Thrombolytic therapy in stroke mimics has a low risk of intracerebral hemorrhage.
  • Accurate identification requires vigilance and a high index of suspicion.

Conclusions:

  • Improving stroke recognition is vital for reducing patient morbidity and mortality.
  • A comprehensive strategy involving education, addressing socioeconomic factors, and system-level analysis is necessary.
  • Early and accurate stroke diagnosis is achievable through diligent clinical practice and a team-based approach.