In the ED, a diagnosis of TIA is based on the history, and the physical examination should confirm that neurological symptoms have resolved. The rest of the physical examination should focus on causes for TIA, especially evidence of cardiovascular disease. Standard investigations should include:

  • FBC
  • U&E
  • Plasma glucose
  • Lipid profile
  • Electrocardiogram
  • LFTs as a baseline if anti-cholesterol medication is to be commenced
  • Brain imaging
  • Carotid imaging