Which test should be performed for patient with suspected stroke within 25 minutes of arrival?

The answer is a neurologic assessment by the stroke team should be performed within 25 minutes of arrival. Neurologic assessment is the examination of sensory neuron and motor responses, especially reflexes, to know whether the nervous system is compromised. The following actions are undertaken:

-      Review the patient's history, including past medical history.

-      Perform a physical exam.

-      Begin last known well if not already done.

-      Execute a neurological exam to assess patient's status using the NIHSS or the Canadian Neurological Scale.

-       The CT scan should be accomplished within 25 minutes from the patient's arrival in the Emergency Depatment and should be read within 45 minutes.

tsd is temerature dependent sex determination.

tsd: it is a type of environmental sex determination in which the temperature experienced during embryonic/ larval development (ambient temperature for development) determine the sex of the offspring.

crocodile displays the tsd where the ambient temperature of the developing egg determines the individual's sex. for example in the american alligator's eggs, incubation at 33 ºc produces mostly males, while incubation at 30 ºc produces mostly females. so if the american alligator's egg will get the ambient temperature (33 degree celcius)during embryonic development from egg, the offspring will be male and same for the female sex determination.