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Can you be diagnosed by a doctor that you had an actual stroke

Without any tests?

Someone I know told me he had a stroke and told the doctor his symptoms and the doctor confirmed he’d had a stroke but did not have any tests ordered. I said I’m pretty sure you’d need to have some kind of test for this to be confirmed and he said no just the doctor could tell without sending him for tests.

I feel like hes lying and looking for attention
Lonewolf511 · 56-60, M
Try and Google this question. You might get better results. In the past few months, I have had a ct done on my brain, an ultrasound, and an MRI. After the ct, my doctor told me I had had one definite mini stroke, possibly two. That's why the US and mri were ordered. Final result : doctor said that I had had a large stroke. Now I don't know if that means "major" or not.
Lonewolf511 · 56-60, M
@samueltyler2 thank you so much for setting me straight. I learned my lesson.
samueltyler2 · 80-89, M
@Lonewolf511 I hope I didn't offend you. If I did I apologize.
Lonewolf511 · 56-60, M
@samueltyler2 no offense taken. It's all fine over here. Thank you, again.
Ontheroad · M
Yes, a doctor could, but no way would they not run follow up tests.
Jenny1234 · 51-55, F
@iamonfire696 right that’s the reason I don’t believe any of it
Ontheroad · M
@Jenny1234 yeah, I'd doubt it myself. Doctors won't take the risk... that is for sure, if he/she didn't run the tests, a malpractice suit staring him/her in the face.
iamonfire696 · 41-45, F
@Jenny1234 When the neurologist thought my Mom had a stroke he sent her for an MRI to confirm and he was right and now she has to take a low dose aspirin everyday.
There are three signs they kept mentioning on TV in PSAs a few years ago, including a laterally asymmetric droop, speech issues, etc.

There are not a lot of sudden reasons that the brain forgets how to shape the patterns of words.

It may be that the doctor opted for getting treatment for stroke before figuring out if the cause was a μstroke, etc.
@Jenny1234 Ok...odd.
Jenny1234 · 51-55, F
@SomeMichGuy agree. That’s why I don’t believe him. It doesn’t add up
@Jenny1234 Agreed.

Requires ignoring him and starting fresh with the second opinion.
Patriot96 · 56-60, C
Certain symptoms can point to a stroke. A troponin blood test can detect acrecent stroke. Ct scan can detect damage
samueltyler2 · 80-89, M
She mentioned it is so obvious that no diagnostic t st need to be done. In the other hand, to day, in the US it could be negligence to not see the patient and determine if any therapy is available.
Jenny1234 · 51-55, F
@samueltyler2 shouldn’t testing be done to determine if any damage was done?
samueltyler2 · 80-89, M
@Jenny1234 i taught medical students, residents and fellows to decide what, if anything, the result of a test would you have on therapy. If they could not come up with anything, they should not order such a test. As I said previously, though, today if someone is having or had a stroke, the physician should attempt to determine what is causing or caused the stroke. If there is a treatable cause the earlier the treatment, the less likely the long term effects!
Sapio · 51-55, M
If a person had a stroke I'm pretty sure they'd follow up with testing of some sort.
Guardian · 56-60, M
In short yes, but any doctor will want to confirm it!
HannahSky · F
They'd run tests
OldBrit · 61-69, M
They normally do a series of blood tests. These help determine the underlying cause and therefore subsequent treatment plan.
samueltyler2 · 80-89, M
@OldBrit it is possible, but rare, for a blood t st to show the cause of a stroke! Since you appear to be allegedly knowledgeable, do you separate hemorrhagic stroke from ischemic, aka coagulation strokes?
OldBrit · 61-69, M
@samueltyler2 I'm far from knowing ask a real doctor.

But wouldn't blood coagulation help if it's ischemic. Immflamtory markers too I'd think.
samueltyler2 · 80-89, M
@OldBrit there are a few conditions which can be said to be procoagulopathies. Coagulation means clotting, that is what causes blockage of arteries and produces ischemic damage. They are inherited coagulopathies. Inflammatory markers might be interesting, if you think that the stroke is related to an inflammatory reaction, for example allergy. But,generally now. The required "laboratory" testing is imaging!
John628 · 18-21, M
I don’t think u can without tests unless you passed out went into shock etc and the doc has seen many similar cases leading to stroke but they can’t say for sure and rule out anything without tests
It depends, maybe he had some obvious tell that a stroke had happened...
iamonfire696 · 41-45, F
The doctor could send him for an MRI to see if there are signs in the brain of a previous stroke.

The doctor may not want to waste medical resources sending him for an MRI but they should to make sure the symptoms he has been having are from a stroke.
Lonewolf511 · 56-60, M
@iamonfire696 from what my neurologist told me, the ct is the cheapest, then the ultrasound, and finally, the mri.
iamonfire696 · 41-45, F
@Lonewolf511 that’s true but then that’s two more tests but the doctor should investigate either way.

 
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