A 72-year-old man with diabetes and hypertension develops sudden right arm weakness and dysarthria that resolve completely within 30 minutes. He prese...

Question

A 72-year-old man with diabetes and hypertension develops sudden right arm weakness and dysarthria that resolve completely within 30 minutes. He presents to the emergency department 2 hours later. According to Canadian stroke best practices, what is the most appropriate management?

Accepted Answer

Admit or refer urgently to a stroke/TIA clinic for rapid assessment, vascular imaging, and initiation of secondary prevention

Answer

Discharge with aspirin and GP follow-up in 1 month

Answer

Order only a non-urgent outpatient CT scan

Answer

Reassure him that no treatment is needed as symptoms resolved

Answer

Give thrombolysis despite full resolution of symptoms

ca-mccqe1 MCQ (SBA): Transient ischaemic attack

A 72-year-old man with diabetes and hypertension develops sudden right arm weakness and dysarthria that resolve completely within 30 minutes. He presents to the emergency department 2 hours later. According to Canadian stroke best practices, what is the most appropriate management?