Risk Score- ABCD2

Question 1

What is ABCD2 used for?

Answer 1

Risk of stroke after TIA

Question 2

What does A stand for?

Answer 2

age

age >60 = 1

Question 3

What does B stand for?

Answer 3

blood pressure

> 140/90 = 1

Question 4

What does C stand for?

Answer 4

Clinical features (max 2 points)

unilateral weakness = 2
speech difficulty without weakness=1

Question 5

What does D stand for?

Answer 5

Duration (max 2 points)

> 60mins=2
10-59mins=1
<10 mins=1

Question 6

what does D stand for?

Answer 6

Diabetes

Question 7

What’s the maxium points from ABCD2?

Answer 7

7

Question 8

PMH in ABCDs

Answer 8

AF, or any funny heart beats

Any TIA in the past

Question 9

Management of ABCD2

Answer 9

immediate: if AF present use CHADVAS
urgent: 0-3, all patient suspected with TIA should be seen in the next 7 days

immediate: 4-7
2 TIA within the same week; antiplatelet treatment
A patient with a score of >4 should be assessed by a specialist within 24hrs

Question 10

Beakdown of ABCD2

Answer 10

low risk: 0-3
moderate risk: 4-5
high risk: >6

Question 11

Medications for managing ABCD2

Answer 11

antiplatelets: aspirin, clopidogrel

Statin

Question 12

name of lifestyle changes

Answer 12

diet low in fat and cholestrol

excerise
smoking cessation
adherence to medication: diabetes control, blood pressure control