This document discusses identifying and managing acute stroke. It begins by outlining stroke, including defining ischemic stroke and transient ischemic attack. It then discusses the classification, epidemiology and data from Malaysia on stroke. Risk factors like hyperhomocysteinemia and depression post-stroke are mentioned. The management of acute ischemic stroke is summarized, including thrombolysis guidelines. General investigations and imaging for acute stroke are provided. The document concludes by discussing secondary prevention strategies post-stroke.