Case 116 – Update 1!

Thanks for everyone’s contributions so far.

Our 56 year old man was commenced on aspirin by the acute stroke team. He was not suitable for thrombolysis (presented later than 4.5hours of onset of symptoms) and it was felt thrombectomy was not required due to a low NIHSS score of 3. He remains on the acute stroke unit under their care.

Following his renal transplant 6 months ago he has a good baseline function. He has never had a TIA/stroke previously.

Work-up investigations requested by yourselves revealed:

  • BP and glucose: Normal
  • ECG: Normal sinus rhythm
  • FBC: Hb 122, HCT 0.56, MCV 72, Plts 480, WCC 9.8, Neuts 7.5

Question:

  1. What abnormality is apparent and what further investigations would you want to perform?

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