DiscoverThe BREACHPosterior stroke: a simple approach
Posterior stroke: a simple approach

Posterior stroke: a simple approach

Update: 2019-10-07
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Your patient is an elderly lady who feels dizzy. Her bloods are all normal and she wants to go home, but she's too dizzy to walk unaided. Her positive urine dipstick is urging you to call it a UTI and move on, but you wonder if she could be having a posterior stroke. You faintly remember something about a 'hinting' exam and getting patients to slap their hands together... You wonder if you should get a CT head, and if that would be enough to exclude the diagnosis. If only the guys at The BREACH covered an article reviewing posterior stroke...



Well, you're in luck. Step away from that urine sample! This paper is going to answer all your questions




Gurley KL, Edlow JA. Avoiding misdiagnosis in patients with posterior circulation ischaemia: a narrative review. Acad Emerg Med 2019 Jul. [Epub ahead of print]


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Posterior stroke: a simple approach

Posterior stroke: a simple approach

Barrie Stevenson