Question

A 62-year-old man presents to the emergency department with a 10-minute episode of left arm weakness and slurred speech that has fully resolved. He has hypertension and smokes. Examination is normal. CT head is normal. What is the most appropriate initial management?

Accepted Answer

Start Aspirin and refer for specialist TIA assessment within 24 hours

Answer

Reassure and arrange routine neurology outpatient review

Answer

Start Warfarin immediately

Answer

Offer thrombolysis with Alteplase

Answer

No treatment is required as symptoms have resolved

Practice question

A 62-year-old man presents to the emergency department with a 10-minute episode of left arm weakness and slurred speech that has fully resolved. He has hypertension and smokes. Examination is normal. CT head is normal. What is the most appropriate initial management?