TIA (Transient Ischaemic Attack)

TIA is defined as a brief episode of neurologic dysfunction with no permanent infarction. Head CT noncontrast is not reliable for acute ischemia, but it can find alternative conditions necessitating management. MRI with DWI displays greater diagnostic ability. Risk scores that predict future stroke are not reliable when used alone. Patients are typically admitted for […]

TIA

[CLICK IMAGE TO PLAY VIDEOS] Cornerstones of treatment for TIA revolve around reducing the risk of future events with blood pressure control, lipid control, and antiplatelet agents. Blood pressure should be maintained at 140/90 with a thiazide diuretic and/or an ACE inhibitor. Statins should be given to keep LDL of under 100mg/dL or 70mg/dL in […]

Central Retinal Artery Occlusion

Presentation: Painless vision loss Early ophthalmology consultation (true eye emergency) Should be treated as a stroke Traditionally poor prognosis overall Promising HBO experience thus far. Consider early consultation with an emergent hyperbaric treatment center if available

Serious reasons why your patient fainted…

If your patient presents with… Symptoms of arm ischemia or paresthesias with syncope – Subclavian steal syndrome Chest pain that is acute, radiates, tearing/sharp, involves symptoms above and below diaphragm with syncope – Aortic dissection Tachypnea, pleuritic chest pain, shortness of breath with syncope – PE Neurologic deficit with syncope – TIA/stroke Headache that is […]

Emergency Medicine Kenya Foundation