1 / 13

Stroke

Stroke. Ruth Derham Tuesday 4 th February. What We Will Cover. Case Learning Points GP management. Presentation. 78 year old gentleman 1/52 history of ‘not right’, unsteady on feet Why today? (Why A and E??) – first time seen anyone. Examination. Cardiorespiratory – normal

cai
Download Presentation

Stroke

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Stroke Ruth Derham Tuesday 4th February

  2. What We Will Cover... • Case • Learning Points • GP management

  3. Presentation • 78 year old gentleman • 1/52 history of ‘not right’, unsteady on feet • Why today? (Why A and E??) – first time seen anyone

  4. Examination • Cardiorespiratory – normal • Abdomen – normal • Cranial nerves – normal • Neuro – grossly intact EXCEPT ataxic gait, dysdiadochokinesis and hypermetria left hand

  5. Investigations • Blood tests • Urinalysis • CXR • CT Brain

  6. Outcome

  7. Outcome

  8. Outcome • Malignant melanoma excised 3 years ago • Discharged from ward 5 • Re-admitted 9th January with collapse • Died in hospital

  9. Learning Points • Why are they presenting now? • Take relatives seriously • Use all of the information available...

  10. What can GPs do about stroke/TIA? • Do not necessarily need to go to ED • Stroke mobile • TIA referral

  11. Proforma

  12. NICE CG68 (Acute Stroke and TIA) • http://www.nice.org.uk/nicemedia/live/12018/41316/41316.pdf • Aspirin 300mg daily • ?statins “individual risk factors” • ABCD2

  13. Summary • Case • Learning Points • GP management

More Related