Q: Why the dermatologic exam is vital in acute stroke?
Answer: Often ignored are the few vital peripheral exams in acute stroke. It includes the dermatologic assessment. It is very much possible not to have immediate family members available to provide the relevant history. Skin exam may provide clues to the underlying disease if its a cause of stroke, like endocarditis, cholesterol emboli, purpura, ecchymoses (anticoagulation), recent surgery/procedure, trauma, seizure (tongue or lip laceration), distal ischemia, cellulitis (infection/inflammation/DIC), and deep vein thrombosis (DVT).
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2. Yew KS, Cheng E. Acute stroke diagnosis. Am Fam Physician. 2009;80(1):33-40.