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presenting symptoms may be vague and accurate assessment difficult.

''FAST'' screening tool (Face/Arms/Speech/Time) is widely known by the general public following a publicity campaign. It has a positive predictive value of 78%.

A variant of FAST called the ROSIER score is useful for medical professionals. It is validated tool recommended by the Royal College of Physicians.

''ROSIER score'' 
A stroke is likely if > 0 .... need to Exclude hypoglycaemia first....
|Loss of consciousness or syncope|- 1|
|Seizure activity|- 1|
|New, acute onset of:	||
|• asymmetric facial weakness|+ 1|
|• asymmetric arm weakness|+ 1|
|• asymmetric leg weakness|+ 1|
|• speech disturbance|+ 1|
|• visual field defect|+ 1|