The Curbsiders Internal Medicine Podcast

#290 Stroke and TIA Triple Distilled

13 snips
Aug 18, 2021
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INSIGHT

Match Imaging with Symptoms

  • Always correlate stroke imaging findings with clinical symptoms for accurate diagnosis. - If imaging findings don't align with symptoms, consider alternative diagnoses beyond stroke.
INSIGHT

Defining True TIA

  • Transient neurologic symptoms are rarely TIA if bilateral or vague. - True TIAs quickly reach maximal intensity and then resolve, revealing stroke risk on MRI.
ADVICE

Use ABCD2 to Stratify Risk

  • Use the ABCD2 score to risk-stratify TIA patients for stroke recurrence. - Scores >3 indicate moderate or higher risk prompting urgent workup or admission.
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