Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
ABCD2
48%
26/54
CHADS2
20%
11/54
Modified Wells Score
4%
2/54
CURB-65
2%
1/54
no scoring tool exists for this situation
24%
13/54
Select Answer to see Preferred Response
The patient's presentation is most consistent with a transient ischemic attack. The ABCD2 tool can be used to evaluate the risk of stroke at 3 and 7 days after a TIA. The risk of stroke after a TIA is significantly increased, and the risk is highest during the days immediately following the TIA. The ABCD2 tool is designed to predict the risk of stroke in the 3 to 90 days after a TIA. Patients receive one point each for: age>60, blood pressure>140/90, clinical symptoms (one point for slurred speech or two points for unilateral weakness), duration (one point for > 10 minutes or two points for >60 minutes), and diabetes. The 2009 American Heart Association & American Stroke Association guidelines recommend neuroimaging within 24 hours of a suspected TIA, preferably with MRI with diffusion weighting, given its ability to detect strokes (and differentiate from TIAs) in the acute phase. Figure A shows a normal diffusion weighted MRI image (DWI). Incorrect Answers: Answer 2: CHADS2 is used to predict the risk of stroke with atrial fibrillation. Answer 3: Modified Wells Score is used to predict the likelihood of a pulmonary embolism. Answer 4: CURB-65 is used to predict the management needs and risk of death of patients with pneumonia. Answer 5: ABCD2 is a validated scoring tool used to predict risk of stroke after a TIA.
4.4
(8)
Please Login to add comment