Table of Contents Include in assessmentManagement algorithm Long-term drugs QuestionsTry some OSCE stations Learn more here…Learn more about the presentation of stroke here! Include in assessment History Exact onset/when last well Any change/progression in symptoms Risk factors (e.g. smoking, hypertension, cardiovascular disease, AF) Examination Full neurological exam Systemic Pulse (AF) Heart sounds Carotid bruits Bruising/bleeding Risk factor signs Xanthelasma Corneal arcus Management algorithm Long-term drugs Antihypertensives Clopidogrel 75mg OD after 300mg loading dose (or anticoagulation if patient is in AF – but wait 2 weeks after stroke) Statin – but wait 48 hours after stroke Reference: NICE ‘NG128 Stroke and transient ischaemic attack in over 16s: diagnosis and initial management’ 2022 Questions What is the DVLA advice with regards to stroke and driving? Oops! This section is restricted to members. Which scoring system may be used in stroke to help make decisions about thrombolysis? Oops! This section is restricted to members. How is a haemorrhagic stroke managed? Oops! This section is restricted to members. Try some OSCE stations Transient ischemic attack Stroke Find more here
