Get your Health question answered in 3 easy steps

152 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

What tests should have done for a stroke victim?

can anyone tell me what the procedure is when a stroke victim is admitted to hospital and what tests are done? i want to know what tests should have been done on arrival at hospital
Mon, 22 Apr 2013
Report Abuse
Question is related to
Diseases and Conditions ,   ,  
Treatment/Therapy
Medical Topics
Neurologist 's  Response
Hi,
Immediately you are clinically diagnosed with stroke ,urgent CT scan brain,blood sugar,BP,ECG should be done.If victim reach the hospital with in the window period of 4.5hrs and CT brain show ischemic stroke (less than 2/3 of teriitory) thrombolysis planned, prior to it bleeding time ,clotting time,platelet count should be ordered.
I find this answer helpful
  User's Response
They should have received an MRI of the brain, as well as a full neurologic exam and maybe even a bolus of TPA if it was soon enough after the initial onset (three hours).
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

today my 82 year old Mum had blurry vision, with black shadows & lines around people she was looking toward at the time. No headache, but a little confused as this was happening to her. Her face went grey & lips went blue. Could this be a trigger warning to a stroke? hospital did blood tests & then sent her home. No other tests done. Should they be doing a CT Scan?

doctor1 MD

I am a 49 year old female who was rushed to the ER Oct 2013. Dr s in the ER said I had a stroke. A neurologist was called in by my floor doctor, as he did not believe I had a stroke. My height and weight was no problem, my cholesterol was perfect, I eat very healthy, exercise 5 to 6 days a week, never have smoked or drank, and no family history of stokes. My neurologist ran a long battery of tests for everything that could mimic a stroke, which all came back negative. After all was said and done I was left with “You had a stroke. We don’t know why. You just did, and you have had more than one. This one was just big enough to draw attention to”. I had a little paralysis in my leg. It would just drag behind me. My leg would shake uncontrollably when it was cold or I had worked out. Then three months later I had an episode where the muscles on my left side started contract to where I had no control over my leg or arm. It lasted only a minute and then I was fine. (I had this twice within the first two weeks after the stroke as well) I seemed to walk much better after the first two, so I thought nothing of this one either. The following morning I had another one only a bit stronger that I had to lie down. When I went to get up I could not get my legs to function. I was rushed to the ER again. I had another episode on the way to the ER. I had about 4 more while in the ER (that I remember) each one getting worse and worse. Towards the end, I recall the episodes starting and the end but nothing in between. I don’t recall leaving the ER to ICU that Saturday morning and nothing until sometime on Tuesday night. The first thing I can recall on Tuesday, was I honestly thought it was Sunday morning. They tell me I was having more than 20 episodes in a day’s time. They said my neurologist did an EEG, another CT, tests for poisoning. All showed nothing. They said he started me on some Tegretol and at some point switched to Lamictal. I recall the floor doctors saying that the episodes were because I was severely depressed and stressed. ( I totally disagreed but I am not a doctor either) They gave me some depression medication and sent me home that Thursday. I followed up with my neurologist, who stressed that the problem was not from depression. Removed the depression medication and increased my seizure medication. He ordered an MRI of my back, more tests I do not recall and more tests for toxin poisonings, still checking for anything that could be causing my problems. The MRI showed two discs ruptured and some compressed nerves, probably from the “seizure things”. However, I have had back pain on and off for 12 years. No more episodes since Feb 6th at 2:14. Again “Don’t know why, you just did’. I have had physical therapy to get me walking again and to strengthen my back muscles. I get along pretty well now, I can jog about ½ mile. Occasionally my leg will jump once or twice when I have exerted myself or exposed to cold. It also quivers when exposed to cold, which could last all day even though I have warmed up (this was true after the stroke as well). It’s a long story to get to a few questions. However, the more information you have the better I thought you could assist me. With today’s internet high-way, should I be wearing a Medic-alert bracelet? And if so what should it state? Since the episodes were not Epilepsy what should I be calling them? Is there anything that where Epilepsy lies dormant, so to speak, and then will show up later, or that, this problem could lead to Epilepsy? And last, is there anything that you could think of that might have caused the episodes that we are not thinking of? Thank you. Robin

doctor1 MD

Hello and thank you for listening.10 years ago, I had an episode of what was originally thought of as a stroke by the doctor I went and saw. When it happened, it was during the night in my sleep(I remember feeling very unusual during my sleep). When I woke up, I couldn t see out of my left eye(it was like a white-grey covering was over it), my left side of my face was droopy, I felt extremely agitated without having an emotional cause for it and my speech was slurred. After they ran tests at the hospital, they couldn t find anything like a blood clot but thought I could have had a mini-stroke . The doctor at that time asked me if I had ever been checked for MS because I was a seemingly healthy 35 year old. I said no, and they scheduled me for a specialist. After going to the specialist, they didn t see lesions in my brain, but they did find the proteins in my spinal fluid. I was placed on prednisone at that time. A month later, they did another spinal tap and it didn t show anything. I was having side effects from the prednisone that seemed to make the symptoms worse so I went off of it. The doctor started treating me symptom specific with cortisone shots in my feet to help the pain that would cause balance issues. I was also placed on a pain medication related to feet that caused temporal seizures during my sleep( I can t remember the name). I went off of this and started taking biofeedback and pain management classes with meditation and yoga that seemed to help and also lost 50 pounds. This seemed to help me keep it under control for about 5 years until I started having tremoring in my left hand(my middle finger seems to be especially affected), strange, severe pains in my knees and elbows, tingling in the elbows and knees but also in my big toe joints, but also this weird tremoring feeling during the night that seemed to start from my trunk/abdomen area and radiate out to my extremities. I got checked for MS, Lupus, and Rheumatoid arthritis. Nothing was found. I still have this off and on but now over the last year on my left leg it swells by the ankle and I have this burning topical pain when I touch it. I will also get this pain in the front of my neck and radiating with both arms. I sometimes get weird numb areas on my face and head, and now I m getting the sudden, severe pain in my knees again during the night while I sleep along with the weird tremoring from my trunk. I feel this pain in my lower back. I am at my wit s end because all of it affects my sleep(I get a sudden startling insomnia and I can t go back to sleep) and it is affecting my work and sometimes personal relationships because of how out of it and exhausted I feel. What should I do?

Recent questions on Cerebrovascular disease

doctor1 MD

my mother is a hypertensive patient currently taking the hypertension medication. recently her bp has been fluctuating from 140/85 to 220/12 in matter of hours. what tests should she do? the family physician is asking her to do CT scan, blood work, and etc. unfortunately, with no insurance, it is hard to get these done.. which one is most vital test that should be done first?

doctor1 MD

I was diagnosed with dejerine roussy after having a stroke eight months ago, I am under gabapentin 600 mg and cymbalta to control all the pain and sensation. Is there cure for what I have? or I will live the rest of my life with pain? Does the thalamus recovers after a stroke?

doctor1 MD

I was diagnosed with a 3.4 arotic aneurysm in January of this year. I realize that is relatively small, however, six months ago I had a CT scan with contrast and there was no mention of aneurysm. So is that size any thing to be concerned about in six months time, or do they start about that size.

doctor1 MD

My sister is 57 years old and is having episodes with very low blood pressure, fainting , and feeling like she is moving in quicksand. She is generally a healthy person with no chronic disease or issues. What could be her problem?

doctor1 MD

I am taking plavix and have a concern about the numerous side effects listed. Can I wear myself off or cut down slowly to a stop? XXXX

doctor1 MD

Hello, Imaging study for early Alzheimer s disease is MRI with or without contrast? Also what is the best current treatment for recent short term memory loss ? Family history of Alzheimer s D. Tx so much