ABCD2

Question 1

What does ABCD2 measure?

Answer 1

Risk of stroke after TIA

Question 2

What does ABCD2 stand for?

Answer 2

Age ≥60
BP ≥140/90mmHg
Clinical features;
- Unilateral weakness.
- Speech disturbance
without weakness
Duration –
- ≥60 minutes
- 10 ≤ minutes < 60
Diabetes

Question 3

What does Age ≥60 score?

Answer 3

1 point

Question 4

What does BP ≥140/90mmHg score?

Answer 4

1 point

Question 5

What do the clinical features score?

Answer 5

Unilateral weakness =
- 2 points.
Speech disturbance without weakness =
- 1 point.

Question 6

What does duration score?

Answer 6

≥60 minutes =
- 2 points.
10 ≤ minutes < 60 =
- 1 point.

Question 7

What does diabetes score?

Answer 7

1 point

Question 8

What PMH should you inquire about?

Answer 8

AF
TIA in the past?

Question 9

If PMH of TIAs what else should you ask?

Answer 9

How long apart were they?

Question 10

What do they different scores mean?

Answer 10

0 - 3 = low risk
4 - 5 = moderate risk
6 - 7 = high risk

Question 11

What is risk of score at 2 days for:
a) low risk
b) moderate risk
c) high risk

Answer 11

a) 1%
b) 4%
c) 8%

Question 12

For those with Score ≤3 what should happen?

Answer 12

See within 7 days

Question 13

For those with Score 4 ≤ score < 6 what should happen?

Answer 13

See specialist within 24 hours

Question 14

For those with Score >6 what should happen?

Answer 14

Specialist referral immediately

Question 15

What lifestyle advice can be given?

Answer 15

Diet
- Lower fats + cholesterol
Exercise more.
Smoking cessation
Adherence to medication (secondary prevention)
- Diabetes control
- BP control

Question 16

What treatment can be offered?

Answer 16

Antithrombotic treatment;
- 300mg aspirin
immediately then
continued long term
75mg OD.
- Clopidogrel 75mg.

Carotid endarterectomy if ICA stenosis >70%