Table of Contents
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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 (or anticoagulation if patient is in AF – but wait 2 weeks after stroke)
- Statin – but wait 48 hours after stroke
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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