Mark Walsh, MD; George Knowles, MD
To the Editors: Rothrock and Hart (1) are to be commended for their comprehensive review of antithrombotic therapy in cerebrovascular disease. They wisely recommend computed tomographic (CT) scanning in cases of stroke only for patients who receive anticoagulation. As internists practicing emergency medicine, we find ourselves ordering middle-of-the-night CT scans on all patients with completed strokes, although none receives anticoagulation, and few surprises are in store once the radiologist reads the scan over his or her home TV monitor. This costly ritual has insinuated itself into the practice of American medicine because textbooks of medicine recommend scanning all acute strokes
Walsh M, Knowles G. Unnecessary CT Scans in Stroke Patients. Ann Intern Med. ;116:875–876. doi: 10.7326/0003-4819-116-10-875_2
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Published: Ann Intern Med. 1992;116(10):875-876.
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