Case 10

Clinical history and examination

Age: 78 years, Female.
Time of presentation: 13.45

History of event

• Symptoms: weakness of left face, arm and leg only
• Current time interval since last known well: 2 hrs 10 mins (130 mins)

Past medical history

• ICH
• Previous ICH 4 yrs ago with good recover
• MRI some microbleeds

Relevant medications

• No antithrombotics
• Amlodipine
• Bendroflumethiazide

Relevant social history

• Living circumstance: at home, alone
• Prior function and care needs: independent
• Work/hobbies: retired GP, looking after grand children, travel, driver

Examination

• Pulse: 80 reg, BP: 173/94
• Neuro:
  • Handedness: right handed
  • NIHSS: 8
  • Deficits: left hemiparesis only

Investigations requested with non imaging results