transient ischemic attack

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Good Afternoon.

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Transient Ischemic Attack

TRANSCRIPT

Page 1: Transient Ischemic Attack

Good Afternoon.

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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

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Bella

51 YEAR OLD

MENOPAUSAL

WAITRESS

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NUMBNESS

GP’s Visit

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SOCIAL HISTORY

Since the age of 15Stopped about 10 years ago, at age 40

Self explanatory

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HYPERTENSION

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Family

History

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Physical

ExaminationVital Signs + general observation

MotorReflexesCerebellarSensationTone

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Impression

Exclude not Transient Ischemic Attack

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Investigations

ECG

Doppler Test on the Carotid Artery

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Definition

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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!!!

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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

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RISK FACTORS

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Risk Factor

Non-Modifiable

Modifiable

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Risk Factor

Non-Modifiable

Family History

Age

Gender

Race

Sickle Cell Disease

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Risk Factor

Modifiable

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Plaque Formation

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Hypertension

Polycythemia

Anemia

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Investigations

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General

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Specific

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Treatment

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Anticoagulant/

Anti-platelet

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Treat underlying diseases

Hypertension/cholesterol/diabetes/anaemiaTreat underlying diseases

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Surgery-Bypass/Endarterectomy

Angioplasty

-Stenting

Clot Busters

-tPA/Urokinase

*AspirinPlavix

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PREVENTION

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