There are a number of tests which Sheetal could now have. For further information on the tests see the Additional Information box below.
See text alternative for feedback on Sheetal’s tests. Protocols regarding which blood tests are taken can vary. Remember to refer to your local procedures.
For further information on atrial fibrillation, carotid intervention and patent foramen ovale see the Topic Loops below.
Protocols regarding which blood tests are taken can vary. Remember to refer to your local procedures.
For further information on rarer causes of stroke see the Topic Loops below.
See ‘View text alternative’ for feedback.
Sheetal’s husband drives her to the TIA clinic. The doctor takes a detailed history and examines Sheetal. The examination results show:
For further information on health and weight see Topic Loop below.
Based on Sheetal’s description of her symptoms the doctor thinks she may have had a TIA and following the local protocol refers Sheetal into the fast access TIA service at the local Nu Yu Hospital.
Sheetal is given an appointment at the TIA clinic the next day. The doctor starts Sheetal on antiplatelet medication (see Topic Loop below) and advises her not to drive until she has been seen at the hospital.
Earlier today while preparing breakfast she had a dizzy spell with double vision and slurred speech. She dropped a plate and couldn’t pick it up. She recovered fully in a few minutes but her concerned husband called their GP.
Sheetal Kaur is a 54 year old woman who has been working in the family business since she arrived in the UK some 30 years ago. She lives with her extended family and looks after her family and her mum. Sheetal is a Sikh and English is her second language. She:
Sheetal has recently been diagnosed as diabetic – which is to be controlled by diet. She has a history of high blood pressure (BP), high cholesterol, gastritis and migraine.
There are other factors which also need to be considered in secondary prevention such as high blood pressure (hypertension), raised cholesterol levels and diabetes.
Drag the factors on the right and drop them on the appropriate column.
Where there is a confirmed diagnosis of ischaemic stroke / TIA affecting the carotid territory the patient should be investigated for the presence of carotid disease.
