Stroke Training and Awareness Resources (STARs)
Clinical history and examination
Age: 82 years, Female.
Time of presentation: 11.00
History of event
- Symptoms: stopped speaking, right face drooped and unable to use right arm or stand
- Onset: 09.00 up and about, witnessed by husband, Current time interval since last known well: 2 hrs (120 mins)
Past medical history
- Hypertension
- Previous angina
Relevant medications
- Aspirin
- Statin
- ACE inhibitor
Relevant social history
- Living circumstance: at home with husband
- Prior function and care needs: independent
- Work/hobbies: retired, bingo, reading
Examination
- Pulse: 72, BP: 175/92
- Neuro:
- Handedness: right handed
- NIHSS: 22
- Deficits: global aphasia, severe right hemiparesis, inattention right visual field
Investigations requested with non imaging results
- ECG SR
- LVH
- Recent blood tests normal