Stroke Training and Awareness Resources (STARs)
Clinical history and examination
Age: 96 years, Female.
Time of presentation: 09:30
History of event
- Symptoms: Got up from chair, fell hitting head but no LOC, Carers noted left facial droop, left arm and leg weak – patient unware of this.
- Current time interval since last known well: 1 hr 30 mins (90 mins)
Past medical history
- Moderate cognitive impairment
- Large bowel Ca resected aged 86 – no known recurrence
Relevant medications
Relevant social history
- Living circumstance: lives in care home, visited by daughters
- Prior function and care needs: mobile with zimmer, help with washing & dressing
- Work/hobbies: reads, watches TV, participates in activities
Examination
- Frail
- Pulse: 106 irreg, BP 160/90
- Neuro:
- Handedness: left handed
- NIHSS: 13
- Deficits: mild dysarthria, gaze deviation to right, mod weakness of left face, arm and leg, neglect of left
Investigations requested with non imaging results
