Case Steven Q7: What tests should be ordered for this patient with acute onset right-sided weakness and slurred speech?

Case Steven Q7: What tests should be ordered for this patient with acute onset right-sided weakness and slurred speech?

Case Steven Q7: What tests should be ordered for this patient with acute onset right-sided weakness and slurred speech?

Correct answers are A and B. Explanation: Non-contrast CT scan of the head: This is essential to quickly differentiate between ischemic and hemorrhagic stroke, which determines the appropriate treatment strategy. A CT scan is the primary imaging modality in acute stroke management due to its rapid availability and effectiveness in detecting hemorrhage. Complete blood count (CBC) and electrolyte panel: These tests are necessary to assess the patient's overall health and detect any abnormalities that might influence treatment decisions, such as infection, anemia, or electrolyte imbalances that could impact neurological function or the safety of interventions like thrombolysis. Chest X-ray and urinalysis: These tests are not immediately relevant in the acute assessment of a suspected stroke and would not typically be ordered in the initial diagnostic workup for this scenario. MRI of the brain and lumbar puncture: While an MRI provides detailed imaging and a lumbar puncture can be used to diagnose certain conditions, neither is part of the initial acute stroke workup due to the urgency of treatment and the need for rapid diagnosis with a CT scan.

Verified by Dr. Petya Stefanova