|Case scenario 1b|
|1.She would have been considered at low risk of stroke within 48 hrs of symptom onset||0||32||0||The risk of stroke following a TIA is significant, with a recent meta analysis reporting a 9.9 % risk of stroke after 2 days. |
|2.Duration of symptoms does not contribute to risk||10||21||1||Factors that influence the risk of stroke include age, blood pressure, specific clinical features, presence of diabetes, duration of symptoms, aetiology of index event (e.g. atrial fibrillation), frequency of TIA symptoms, history of previous TIAs and smoking.|
|3.Limb weakness increases stroke risk||24||3||5|
|4.BP contributes to risk of stroke in next 48 hrs||26||2||4||Johnston et al devised and validated a unified ABCD2 score to predict the risk of stroke after TIA at 2 days .|
On further questioning you discover that she had some associated weakness but no speech symptoms. She denies any dizziness or headache.
Leung et al.
Leung et al. BMC Research Notes 2012 5:278 doi:10.1186/1756-0500-5-278