Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 7894  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
 »   Next article
 »   Previous article
 »   Table of Contents

 Resource Links
 »   Similar in PUBMED
 »  Search Pubmed for
 »  Search in Google Scholar for
 »Related articles
 »   Citation Manager
 »   Access Statistics
 »   Reader Comments
 »   Email Alert *
 »   Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded107    
    Comments [Add]    
    Cited by others 1    

Recommend this journal


Year : 2020  |  Volume : 68  |  Issue : 2  |  Page : 282--287

Role of the Physical Examination in the Determination of Etiology of Ischemic Stroke

1 Hospital Regional de Alta Especialidad del Bajío, Mexico
2 Hospital Nacional “San Juan de Dios”, San Miguel, El Salvador, Mexico
3 Instituto Mexicano del Seguro Social (IMSS) HGZ 2, Aguascalientes, Mexico

Correspondence Address:
Juan M Marquez-Romero
Instituto Mexicano del Seguro Social (IMSS) HGZ 2, Av. de los Conos 102, Fraccionamiento Ojo Caliente, Desarrollo Especial Ojocaliente, Aguascalientes, Mexico - 20190
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.284386

Rights and Permissions

The actual investigation of the body of a patient by the clinician in search for the signs of the disease beginning with the primary vital signs and continues with the careful and attentive observation of the patient. This article reviews the key findings in the physical examination of patients with ischemic stroke that have the potential to indicate the etiology of the infarct and to help to choose the use of ancillary tests. Through a systematic search of articles published in English related to the physical examination of patients with stroke, we identified key findings in the vital signs and classic components of the physical exam (appearance of the patient, auscultation, and eye examination) that have shown clinical significance when determining ischemic stroke etiology. We further suggest that the prompt identification of such findings can translate into better use of diagnostic tools and selection of ancillary confirmatory tests, thus, reducing the time to etiology based treatment and secondary prevention of ischemic stroke. in this manuscript, we aim to show that even though nowadays the clinical skills tend to be overlooked due to the overreliance on technology, the physical exam continues to be a valuable tool in the clinician armamentarium when facing the challenge of a patient with ischemic stroke.


Print this article     Email this article

Online since 20th March '04
Published by Wolters Kluwer - Medknow