NIHSS Flashcards

1
Q

1) Nivel de conciencia

A

0: Vigil
1: Somnoliento
2: Requiere Simulación repetida
3: Coma / Respuesta Flexora

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2
Q

2) Orientacion

A

Mes y Edad

0: 2 respuestas correctas
1: 1 respuesta correcta
2: 0 correctas

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3
Q

3) Ordenes

A
  • Abre / Cierra Ojos 👀
  • Puño 🖐🏼
    0: 2 correctas
    1: 1 correcta
    2: ninguna correcta
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4
Q

4: Mirada (Best gaze)

A

👀

0: normal
1: Desviación Parcial
2: Mirada Forzada

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5
Q

5: Campos Visuales

A

👀

0: sin perdida
1: Hemianopsia parcial (cuadrante)
2: hemianopsia completa
3: hemianopsia bilateral

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6
Q

6: Paresia Facial

A

👨🏻

0: normal
1: Facial leve
2: Facial moderado
3: Paresia completa

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7
Q

7-8: Miembro superior 💪🏼

A
💪🏼
0: Normal
1: Cae antes de los 10 seg
2: Algun esfuerzo contra gravedad
3: Sin esfuerzo contra gravedad (Contrae)
4: Plejia
~Amputacion
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8
Q

9-10 Miembro Inferior🦵🏼

A
🦵🏼
0: Normal
1: Cae antes de los 5 seg
2: Algun esfuerzo contra gravedad
3: Sin esfuerzo contra gravedad (Contrae)
4: Plejia
~Amputacion
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9
Q

11: Ataxia de miembros

A
Indice - dedo
0: ausente
1: presente en un miembro
2: presente en 2 miembros
~ Amputación
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10
Q

12: Sensibilidad

A

0: normal
1: Hiperestesia
2: Anestesia

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11
Q

13: Lenguaje

A

0: Normal
1: Afasia Moderada
2: Afasia Severa
3: Mutismo o afasia global

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12
Q

14: Disartria

A

0: Normal
1: leve a moderada
2: Severa
~ intubado

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13
Q

15: Extinción Inantencion

A

0: Normal
1: Extinción en modalidades: visual, táctil, auditiva, anosognosia
2: HemiNeglect no reconoce su mano orientación a untado del espacio

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