transient ischemic attack
DESCRIPTION
Transient Ischemic AttackTRANSCRIPT
Good Afternoon.
Name Presented Case
Mrs X Endometrial Carcinoma + 2ndary lung cancer
Mrs S Asthma
Mrs Z Hypertension + Diabetes
Mr X Asperger’s Syndrome
Mrs PP Chronic hypertension
?Bella
Bella
51 YEAR OLD
MENOPAUSAL
WAITRESS
NUMBNESS
GP’s Visit
SOCIAL HISTORY
Since the age of 15Stopped about 10 years ago, at age 40
Self explanatory
HYPERTENSION
Family
History
Physical
ExaminationVital Signs + general observation
MotorReflexesCerebellarSensationTone
Impression
Exclude not Transient Ischemic Attack
Investigations
ECG
Doppler Test on the Carotid Artery
Definition
Transient Neurological dysfunction
caused by focal brain/retinal ischemia without acute infarction
Lasting typically <60 minutes
Followed by function recovery in 24 hours
TELLING SIGN OF STROKE!!!
Trouble in speaking
Difficulty swallowing
Lack of control over the bladder
or bowels
Change in alertness
Muscle weakness
Numbness
Difficulty writing or reading
Personality, mood, or emotional
changes
Confusion
Sight
RISK FACTORS
Risk Factor
Non-Modifiable
Modifiable
Risk Factor
Non-Modifiable
Family History
Age
Gender
Race
Sickle Cell Disease
Risk Factor
Modifiable
Plaque Formation
Hypertension
Polycythemia
Anemia
Investigations
General
Specific
Treatment
Anticoagulant/
Anti-platelet
Treat underlying diseases
Hypertension/cholesterol/diabetes/anaemiaTreat underlying diseases
Surgery-Bypass/Endarterectomy
Angioplasty
-Stenting
Clot Busters
-tPA/Urokinase
*AspirinPlavix
PREVENTION