A 64-year-old man experiences transient left arm weakness and slurred speech lasting 20 minutes, which has fully resolved by the time he attends the e...

Question

A 64-year-old man experiences transient left arm weakness and slurred speech lasting 20 minutes, which has fully resolved by the time he attends the emergency department 2 hours later. There is no atrial fibrillation. What is the most appropriate immediate management?

Accepted Answer

Start aspirin 300 mg daily and refer urgently to TIA clinic for assessment within 24 hours

Answer

Discharge with routine neurology outpatient referral

Answer

Start warfarin immediately

Answer

No treatment is required as symptoms have resolved

Answer

Arrange urgent carotid endarterectomy before starting antiplatelets

uk-plab-1 MCQ (SBA): Transient ischaemic attack

A 64-year-old man experiences transient left arm weakness and slurred speech lasting 20 minutes, which has fully resolved by the time he attends the emergency department 2 hours later. There is no atrial fibrillation. What is the most appropriate immediate management?