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10 Cards in this Set
- Front
- Back
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What is Transient Ischemic attack (TIA)?
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transient neurologic dysfunction d/t ischemia without infarction.
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What causes TIA?
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Many, some include; artherosclerosis, embolism, vessel occlusion, sternosis, hypercoagulable state.
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What are some sx of TIA?
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impaired speech/language,
visual loss diplopia, facial drooping swallow dysfunction, gait dysfunction |
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What other Ddx in TIA?
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hyper/hypoglycemia, migraine, subdural hematoma, brain tumor, abscess, toxins
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What dx testing is helpful?
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brain CT use to exclude hemorrhage, large mass, old infarction.
MRI with DWI has good sensitvity. use of acute infarction. |
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How to assess risk of stroke following TIA?
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ABCD
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What is ABCD in stroke assessment?
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A=age >60
B=BP SBP>140 DBP >90 C=clincal features, ie speech or weakness D=Duration >60mins 2 point Diabetes |
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when should TIA pt be hospitalized?
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Considered a 24 hr observation. ABCD score >3
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What drugs should be considered with TIA?
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ASA or plavix.
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What drugs have a role in prevention of TIA or stroke?
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Statins (LDL goal of <70), control HTN
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