|
1.A repeat CT scan in 7 days should be performed
|
6
|
11
|
15
|
Whilst diagnosis of a TIA is a clinical one, the use of imaging enables clinicians to confirm ischaemia, exclude haemorrhage or any other pathology mimicking a stroke. A CT scan after 8–10 days however, is less sensitive to haemorrhage and an MRI may be the more appropriate investigation [22].
|
|
2.Carotid duplex need not be done as symptoms were not in the carotid territory
|
5
|
25
|
2
|
As ‘best clinical practice’ the National Stroke Foundation [23] recommends that patients with carotid territory symptoms who would be candidates for surgery have a carotid duplex ultrasound. However, the reliability in determining the correct vascular territory clinically is only moderate in neurologists [24]. Bloods should be obtained routinely in all patients for a full blood picture, electrolytes, renal function, fasting lipids, erythrocyte sedimentation rate and/or C-reactive protein and glucose. An ECG should be performed in all patients, with attention to the presence of atrial fibrilliation (AF).
|
|
3.Bloods should be taken for FBE, ESR, BGL, lipids,UEC
|
31
|
1
|
0
|
|
4.ECG not needed as PR is regular
|
2
|
28
|
2
|
