Question

A 74-year-old woman is brought to A&E with sudden onset right-sided weakness and slurred speech 45 minutes ago. On examination, she has right facial droop and dense right hemiparesis. Capillary glucose is 5.4 mmol/L and BP is 178/96 mmHg. What is the most appropriate next step in her management?

Accepted Answer

Arrange an urgent CT brain scan to be performed immediately.

Answer

Give Aspirin 300 mg immediately and arrange a CT brain within 24 hours.

Answer

Start a heparin infusion and organise carotid Doppler ultrasound.

Answer

Arrange an outpatient MRI brain within 2 weeks under the TIA pathway.

Answer

Start oral Clopidogrel and refer for stroke rehabilitation.

Practice question

A 74-year-old woman is brought to A&E with sudden onset right-sided weakness and slurred speech 45 minutes ago. On examination, she has right facial droop and dense right hemiparesis. Capillary glucose is 5.4 mmol/L and BP is 178/96 mmHg. What is the most appropriate next step in her management?