A 72-year-old woman has a 20-minute episode of left arm weakness and dysphasia that has completely resolved by the time she reaches ED 90 minutes late...

Question

A 72-year-old woman has a 20-minute episode of left arm weakness and dysphasia that has completely resolved by the time she reaches ED 90 minutes later. CT brain is normal. She has hypertension and hyperlipidaemia. What is the most appropriate immediate management?

Accepted Answer

Start aspirin and arrange urgent stroke clinic review and vascular imaging

Answer

Reassure and discharge without treatment

Answer

Start therapeutic enoxaparin and discharge

Answer

Arrange elective MRI in 2 months with no treatment now

Answer

Withhold all antithrombotic therapy until atrial fibrillation is documented

au-amc MCQ (SBA): Transient ischaemic attack

A 72-year-old woman has a 20-minute episode of left arm weakness and dysphasia that has completely resolved by the time she reaches ED 90 minutes later. CT brain is normal. She has hypertension and hyperlipidaemia. What is the most appropriate immediate management?