SAQ 502 – Neurology – acute stroke assessment and thrombolysis consent

You are the consultant in a tertiary ED with stroke team access. A 55-year-old man with hypertension, atrial fibrillation, diabetes and occasional alcohol use presents after 1 hour of left facial droop, slurred speech and visual changes. He has no allergies and takes warfarin, ramipril, amlodipine and Novorapid. You are concerned about stroke.

List three (3) important alternative diagnoses that can mimic stroke and how you would exclude each on initial brief assessment.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Alternative diagnosis</th> <th>How to exclude</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> </tbody> </table> <p>

/ 6

CT perfusion shows reversible ischaemia with no intracranial haemorrhage and the stroke team wants to thrombolyse. List four (4) contraindications to thrombolysis that need to be excluded.

(Marked out of 4.0)

/ 4

List five (5) important elements in the consent process for thrombolysis.

(Marked out of 5.0)

/ 5

Total Score: 0 / 15

Percentage: 0%