• Please review the updated member agreement. Included is a new statement supporting the scientific method and evidence-based medicine. Claims or statements about disease processes should reference widely accepted scientific resources. Theoretical medical speculation is encouraged as part of the overall scientific process. However, unscientific statements that promote unfounded ideological positions or agendas may be removed.
  • Free admissions webinar for pre-vets! “Apply Smarter” Webinar


Senior Member
7+ Year Member
15+ Year Member
Dec 11, 2003
Visit site
i wanted to ask all FM guys about what FMs do in stroke.
i guess ER guys have a role in acute stroke, but do FPs also managa acute stroke?
Secondly, do you manage or follow up chronic strokes?
When do you refer a case of stroke to the neurologist/stroke team?


Senior Member
10+ Year Member
15+ Year Member
Jan 4, 2004
Visit site
yes fp's take care of stroke pts. the rule at our hosp is this...if the pt hits the door (e.r.) and has an fp as a pcp then he/she goes to the fp service no matter how complex or simple the admission may be. so yes we get lots of cva's.

the e.r. docs usually get the inital CT to r/o bleed so the pt can then be started on asa, clopidogrel, thrombolytics, etc. the pt goes on a cva protocol...ekg to r/o afib induced emboli, cbc, coags, etc.

in my experience if its a lacunar infarct, tia, or small stroke we take care of it. a big cva, bleed, etc we almost always get the neuro guys involved.

again fp does it all!
About the Ads