A 62-year-old man has a transient episode of right arm weakness and expressive dysphasia lasting 25 minutes, which has completely resolved on arrival ...

Question

A 62-year-old man has a transient episode of right arm weakness and expressive dysphasia lasting 25 minutes, which has completely resolved on arrival at the emergency department. Blood pressure is 160/95 mmHg. Examination is normal. What is the most appropriate immediate management?

Accepted Answer

Give Aspirin 300 mg and arrange specialist TIA clinic review within 24 hours

Answer

Discharge with reassurance and no antiplatelet therapy

Answer

Start lifelong Warfarin immediately

Answer

Admit for elective carotid endarterectomy the next day

Answer

Arrange routine neurology outpatient review in 3 months

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

A 62-year-old man has a transient episode of right arm weakness and expressive dysphasia lasting 25 minutes, which has completely resolved on arrival at the emergency department. Blood pressure is 160/95 mmHg. Examination is normal. What is the most appropriate immediate management?