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TIA

  • Sx

    • brief period of stroke sx, ataxia, AMS that resolves
  • Common ddx

    • orthostasis, ear issue, vision issue, peripheral neuropathy, medications
  • Don't miss ddx

    • stroke, CO poisoning, space-occupying lesion, MS
  • Other ddx

    • MG, CJD
  • HPI

    • onset
    • quality: describe how you felt, what were you doing
    • current symptoms
    • meds taken for this
    • baseline functional status
  • ROS

    • current symptoms, presence of unilateral weakness
    • duration of symptoms
    • headache
    • head trauma
    • earache, vertigo, tinnitus, hearing loss
    • vision loss, double vision
    • numnbness, tingling
    • new medications
    • PMH afib, DM
  • Px

    • vitals: BP, SpO2
    • pupil alignment, unequal pupils, papilledema
    • CN II-XII
    • unequal grip, facial droop
    • reflexes
    • finger-to-nose, rapid alternating movements, gait
    • sensation of fingers and toes.
  • Labs

    • head CT
    • EKG
    • BMP
  • Tx

    • admit if ABCD2 > 3
    • admit if you're clinically worried (elderly, PMH afib)
  • ABCD2

    • age > 60 (+1)
    • unilateral weakness (+2), slurred speech only (+1)
    • over 60 min (+2), over 10 min (+1)
    • PMH DM (+1)

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.