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Stroke and TIA management

Acutely Unwell Patients > Managing neurological emergencies

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

  • Clopidogrel 75mg OD, or anticoagulation if patient is in AF ā€“ delay starting anticoagulation in stroke
  • Blood pressure control
  • High-intentsity statin
  • Lifestyle advice

Reference: National Clinical Guideline for Stroke for the United Kingdom and Ireland 2023

Questions

What is the DVLA advice with regards to stroke and driving?

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Which scoring system may be used in stroke to help make decisions about thrombolysis?

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How is a haemorrhagic stroke managed?

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Try some OSCE stations

  1. Transient ischemic attack
  2. Stroke
  3. Find more here

Managing neurological emergencies

One Comment

  1. UJWAL YEOLE says:
    29 December 2023 at 18:58

    thanks

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