The questions answered in this podcast are listed below. They were compiled by GPs and health professionals around Australia.
- Can a blackout be a stroke?
- Can seizures be one of the differential diagnoses of the patient presenting with stroke?
- Can you comment on patients who present with lacunar infarctions, found incidentally, when GPs investigate a patient after a head injury?
- If a patient is young with hardly any cardiovascular risk factors, who should we refer them to?
- Are there any differences in presentations between haemorrhagic and thromboembolic strokes? How common are they, in whom do we see them?
- How many can be embolic and where are they generally from?
- Should patients with TIA symptoms be sent to ED for workup if there may be delays in investigations in GP setting?
- If a patient presents with a possible TIA, but is asymptomatic, what would you do? What should we investigate in general practice?
- I work an hour by ambulance from Ballarat Base hospital, whereas I can get a CT in about 20 minutes. Is it worth me getting a CT scan and considering antithrombotic? And without an MRI, if the CT does not show changes and symptoms resolved, would you start antiplatelets?
- Can you talk us through, antiplatelets, dual antiplatelets, which ones are better, when to use them and thrombolytic therapy?
- Any comments on GPs perceiving clopidogrel every second day or twice a week?
- Targets you want to be driving, particularly in younger patients.
- When it comes to antihypertensives, do neurologists have a preferred class of drugs?
- Do you ever do Apolipoprotein A?
- Comment on the use of coronary artery calcium score before the prescription of statins. Is it something neurologists do, or just cardiologists?
- In terms of driving guidelines post TIA stroke, the duration mentioned in the presentation, are these nationally accepted? And can GPs confidently advise these patients?
- Regarding all TIAs, should they be referred to a stroke physician even if all the measures you mentioned about CVD risk factors have been instituted?
Host: Dr David Lim | Total Time: 38 mins
Guest: Prof Bruce Campbell, Neurologist
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