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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

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Long-term drugs

  • Antihypertensives
  • Clopidogrel 75mg OD (or anticoagulation if patient is in AF – but wait 2 weeks after stroke
  • Statin – but wait 48 hours after stroke

Questions

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