Stroke
- Presentation

Signs of raised intracranial pressure

• Headache
• Decreased level of consciousness
• Papilloedema
• Vomiting

Headache is much more common in haemorrhagic stroke than ischaemic ones.

Features to note on physical examination

• Fever
• Skin signs
  * Signs of emboli - Janeway lesion, Osler nodes
  * Signs of bleeding dyscrasia - ecchymosis or petechiae
• Fundoscopy
  * Papilloedema
  * Preretinal haemorrhage
  * Hypertensive retinopathy
• Neurological examination