Question 208 · LEK · Ischemic stroke
A 75-year-old female patient with persistent atrial fibrillation suddenly experienced right-sided paresis with aphasia. The patient has not been treated with anticoagulants. What should you do first?
- A. take a head CT scan with contrast.
- B. take a non-contrast head CT scan.
- C. determine the glucose concentration.
- D. administer tissue plasminogen activator.
- E. administer heparin.
Hint
Before imaging or any treatment, exclude the fast, easily reversible metabolic mimic of stroke.
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