Clinical Case Database / Category: Case Based Discussion

Transient ischaemic attack (TIA)

Publication details

Dr. Sameer Limaye, Dr. Estelle McFadden, Dr. Jonathan Cooper, Dr. Ahamad Hassan
Foundation Years Journal, volume 2, issue 6, p.270 (123Doc Education, London, July 2008)

Abstract

A 78-year-old man attends the medical admissions unit via his GP. Yesterday he noticed weakness and clumsiness of his right hand with slurred speech lasting for 50 minutes. This did not concern him and he had only mentioned it to his GP during a routine check-up. He tells you that he feels fine and doesn’t understand “what all the fuss is about”. His previous medical history includes type 2 diabetes and hypertension. He takes amlodipine 5mg od, ramipril 10mg od on repeat prescription.

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Authors

Dr. Sameer Limaye (Corresponding author)

The Stroke Association Clinical Fellow in Stroke
Leeds Teaching Hospitals NHS Trust
Leeds
LS1 3EX

Dr. Estelle McFadden

GP Partner
Bowling Hall Medical Practice
Bradford
BD4 7SS

Dr. Jonathan Cooper

Consultant in Geriatrics and Stroke Medicine
Leeds Teaching Hospitals NHS Trust
Leeds
LS1 3EX

Dr. Ahamad Hassan

Consultant in Neurology and Stroke Medicine
Leeds Teaching Hospitals NHS Trust
Leeds
LS1 3EX

References

1. Nor AM, Davis J, Sen B, Shipsey D, Louw SJ, Dyker AG, et al. The Recognition of Stroke in the Emergency Room (ROSIER) scale: Development and validation of a stroke recognition instrument. Lancet Neurology, 2005 4(11):727–734.
2. Hankey GJ, Warlow CP. Transient Ischaemic Attacks. London: W B Saunders Company Ltd, 1994.
3. The Royal College of Physicians Clinical Guidelines for Stroke, 2nd edn. Prepared by the Intercollegiate Stroke W orking Party. London RCP. 2004. http://www.rcplondon.ac.uk/pubs/contents/78ba394c-c09a-4fce-bdf4-bcd49b33e650.pdf
4. Rothwell PM, Giles MF, Chandratheva A, et al. Effect of urgent treatment of transient ischaemic attack and minor stroke on early recurrent stroke (EXPRESS study): A prospective population-based sequential comparison. Lancet, 2007 370(9596):1432–1442.
5. Rothwell PM, Eliasziw M, Gutnikov SA, Warlow CP, Barnett HJ. Endarterectomy for symptomatic carotid stenosis in relation to clinical subgroups and timing of surgery. Lancet, 2004 363(9413):915–924.

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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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