A 68-year-old man experiences a transient episode of left arm weakness and slurred speech lasting 20 minutes which fully resolves. He presents to the ...

Question

A 68-year-old man experiences a transient episode of left arm weakness and slurred speech lasting 20 minutes which fully resolves. He presents to the emergency department 2 hours later. Neurological examination is normal. What is the most appropriate management?

Accepted Answer

Start aspirin and arrange urgent carotid imaging and specialist review

Answer

Reassure and arrange outpatient review in 4 weeks

Answer

No antiplatelet therapy is required as symptoms resolved

Answer

Commence long-term warfarin immediately

Answer

Discharge with no further testing if CT brain is normal

au-amc MCQ (SBA): Transient ischaemic attack management

A 68-year-old man experiences a transient episode of left arm weakness and slurred speech lasting 20 minutes which fully resolves. He presents to the emergency department 2 hours later. Neurological examination is normal. What is the most appropriate management?