Condition Info - BotMed Application

ConditionName

Transient ischemic attack (TIA)

ConditionDescription

Symptoms

Numbness or weakness, especially on one side of the body;
Sudden confusion;
Difficulty understanding what others are talking about;
Vision problems; Brief unilateral blindness (amaurosis fugax);
Dizziness; problems with coordination; Difficulty walking;
Very bad headache;
Syncope, in some cases;
Face weakness, arm drift;
Abnormal speech.

PhysicalFindings

ClinicalTests

ECG: arrhythmia (A-fib);
MRI better for infarction;
CT better for hemorrhage, NOT USEFUL FOR ISCHEMIA;

US of carotid artery;
MRI or CT angiogram.

RiskFactors

Family history;
Age>55;
High BP;
Diabetes; 
CAD;
Smoking;
Hyperlipidemia;
Hypercoagulation state;

IsRedFlag

IsNPLEX

Consequence

Temporary condition;
Can lead to stroke;

ProgressionFromCondition

TreatmentOptions

PharmOptions

Antiplatelets:
Clopidegrel or aspirin;

Anti-lipid: high intensity statin therapy in all TIA patients;

BP: >140/90

Embolic: warfarin, heparin;

Surgery: symptomatic with stenosis 70-99%;

Men symptomatic 50%-69%;

WebLink

https://www.merckmanuals.com/en-ca/professional/neurologic-disorders/stroke/transient-ischemic-attack-tia