TIA history & management Flashcards
1
Q
associated symptoms in SOCRATES
A
weakness (dexterity) // sensory losses // homonymous hemianopia // dysphagia // dysphasia
2
Q
PMH Qs
A
AF // past TIAs // HTN // T2DM
3
Q
SH Qs
A
smoking // alcohol // occupation (stress) // support at home
4
Q
management
A
300mg aspirin stat + review in 24hrs in acute stroke unit
if confirmed –> clopidogrel 75mg daily + atrovastatin 80mg
5
Q
Mx RFs
A
lifestyle - diet & exercise, stop smoking, reduce alcohol intake, diet
AF - ECG
HTN - ACEi/CCB
T2DM - metformin
Carotid doppler
6
Q
calculate ABCD2 risk
A
age (>60)
BP (140/90)
clinical features
duration
DM
+4 = high risk
7
Q
isolated TIA advice
A
do not drive for 1 month
no need to inform DVLA
