ModuleDraft

Internist module: Secondary stroke prevention in primary care (high-yield checklist)

A practical outpatient checklist for internists caring for stroke/TIA survivors: BP/lipids/diabetes, antithrombotics, smoking, OSA, lifestyle, and follow-up intervals with documentation prompts.

ClinicianClinicianIntermediate25 minClinical (pro)

Educational only

Educational only — apply local protocols and individualized clinical judgment.

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For suspected recurrent stroke symptoms, activate emergency evaluation immediately.

Key takeaways

  • Apply guideline-aligned secondary prevention targets in outpatient primary care
  • Build a repeatable follow-up checklist (BP, lipids, diabetes, lifestyle)
  • Identify common gaps (OSA screening, med adherence, rehab needs)

Visit framework

  • Problem list
  • Mechanism
  • Meds
  • Targets

Risk factor checklist

  • BP
  • Lipids
  • DM
  • Smoking
  • OSA
  • Weight/activity

Antithrombotics

  • Antiplatelet vs anticoag
  • Adherence
  • Bleeding risk

Referrals/follow-up

  • Neuro
  • Cardiology
  • Rehab
  • Labs

Practice check

What you’ll practice

These questions are untimed. After you answer all of them, you’ll see your score and a clear next lesson or reference step.

0 of 2 answered

Question 1

1. In outpatient secondary prevention, the most reliable way to reduce future events is…

Question 2

2. OSA screening is a relevant secondary prevention consideration after stroke.

References

  1. Tier 1
    AHA/ASA 2021 Guideline for the Prevention of Stroke in Patients With Stroke and TIA
  2. Tier 1
    AHA/ASA 2024 Primary Prevention Guideline (risk factor management context)