How Many Diagnosis Tests (Excluding Standard Laboratory Tests) Should the Average Stroke Patient Get until Final Diagnosis?
In the emergency room, patients usually will get a CCT scan to exclude cerebral hemorrhage. The affected vascular territory can be estimated by clinical examination. Further CCT or MRI examination might be indicated to detect the cause of a stroke syndrome. Neurosonologic examination as well as cardiac ultra-sound and chest X-ray give hints to cardioembolic and atherothrombotic stroke. With these examinations most etiologic factors can be detected. In cases of unusual etiology further laboratory exams to evaluate the coagulation system, to diagnose vascular rheumatologic disorders and to detect patent foramen ovale may be mandatory. 24-Hour ECG monitoring can be provided in specialized stroke units during the first hours of hospitalization and will not be required later. Therefore, a basic examination set would be routine blood tests, chest X-ray, ECG, ECG-24-hour monitoring, CCT and follow-up CCT, neurosonology and cardiac sonologic examination. Angiography is mandatory in only a few
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