Stroke Mimics

Stroke Mimics is a fast, structured clinical reference tool for the acute stroke front door. Around 15–30% of suspected strokes turn out to be mimics, yet the pressure to thrombolyse quickly leaves little time to work through the differential. This app gives you a clear, step-by-step pathway to recognise, investigate and exclude the common mimics — so you can treat the mimic, or treat the stroke, with confidence. Designed for emergency physicians, acute medicine and stroke teams, neurology trainees, and anyone assessing a possible stroke under time pressure. WHAT IT COVERS - Immediate exclusions in the first five minutes — hypoglycaemia, hypertensive emergency, Wernicke and septic encephalopathy - A structured bedside screen covering what to check before and after CT - Imaging interpretation, including the role and the limits of CT and DWI - The specific mimics side by side — migraine, seizure and Todd's paresis, functional neurological disorder, vestibular syndromes, sepsis and metabolic causes - A clear intravenous thrombolysis (IVT) decision checklist - Disposition and safety-netting guidance WHY CLINICIANS USE IT - Built for speed at the bedside — no login required, works fully offline - Every recommendation is traceable to its source - A clean, distraction-free interface designed for high-pressure moments EVIDENCE BASE Content is derived from peer-reviewed guidance and evidence, including NICE NG128, the RCP National Clinical Guideline for Stroke (2023), ESO 2021, NICE CG137, the SITS-ISTR registry and the ESETT trial. Every section links to its primary source so you can check the original. ACCESS Core sections are free. A one-time in-app purchase unlocks the full pathway — no subscription, and your unlock works offline. IMPORTANT This app is an educational and clinical reference tool for qualified healthcare professionals. It does not replace clinical judgement, local protocols or direct senior review, and it is not a regulated medical device. All thrombolysis decisions require direct assessment by an appropriately trained clinician and involvement of the stroke team. Developed by Dr Atif Elnil MBBS MRCP, Neurology and Stroke Fellow.