Question

A 72-year-old man in a rural hospital presents with acute onset facial droop and slurred speech that resolve completely within 30 minutes. CT brain is normal. The rural site has limited on-site neurology services. What is the most appropriate next step in management?

Accepted Answer

Urgent telehealth consultation with a stroke service for risk stratification and secondary prevention planning

Answer

Discharge with aspirin and routine GP follow-up

Answer

Observation overnight only, no therapy needed if symptoms do not recur

Answer

Start anticoagulation immediately without further assessment

Answer

Arrange elective outpatient neurology review in 3 months

Practice question

A 72-year-old man in a rural hospital presents with acute onset facial droop and slurred speech that resolve completely within 30 minutes. CT brain is normal. The rural site has limited on-site neurology services. What is the most appropriate next step in management?