Question

A 70-year-old man presents with right-sided weakness and expressive dysphasia that started 90 minutes ago. CT brain is not yet performed. Observations: blood pressure 168/94 mmHg, pulse 90 bpm, glucose 6.5 mmol/L. What is the most appropriate next step in management?

Accepted Answer

Urgent CT brain and consideration of intravenous thrombolysis

Answer

Start high-dose Aspirin immediately before imaging

Answer

Arrange CT brain within 24 hours and start Aspirin later

Answer

Discharge with a neurology outpatient appointment

Answer

Start warfarin immediately for presumed cardioembolic stroke

Practice question

A 70-year-old man presents with right-sided weakness and expressive dysphasia that started 90 minutes ago. CT brain is not yet performed. Observations: blood pressure 168/94 mmHg, pulse 90 bpm, glucose 6.5 mmol/L. What is the most appropriate next step in management?