Clinical Case Database / Category: Patient Management


Publication details

Dr Urvi Sanganee, Dr Mehool Patel
Foundation Years Journal, volume 4, issue 8, p.32 (123Doc Education, London, September 2010)


This scenario follows the case of a 65-year-old gentleman who presents with stroke, and discusses both acute and long-term management of such patients. It also provides guidance on transient ischaemic attacks and how to risk stratify patients to determine whether they require immediate inpatient or early outpatient assessment.

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Dr Urvi Sanganee

Foundation Year 2
University Hospital Lewisham

Dr Mehool Patel

Consultant Physician in Stroke and Elderly Medicine
Foundation Programme Director
University Hospital Lewisham


1. CAST (1997) Randomised placebo-controlled trial of early aspirin use in 20,000 patients with acute ischemic stroke. Lancet, 349(9066):1641–1649.
2. NICE (2008) Stroke: diagnosis and initial management of acute stroke and transient ischaemic attack (TIA).Quick reference guide. National Institute for Health and Clinical Excellence.
3. Department of Health (2006) National Service Framework for older people, 61.
4. SIGN guideline no. 64. 2002:1.
5. National Collaborating Centre for Chronic Conditions (2008) Stroke: national clinical guideline for diagnosis and initial management of acute stroke and transient ischemic attack (TIA). National Institute for Health and Clinical Excellence


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About the Clinical Cases Database

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.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.