The TIAs you need to worry about
February 11, 2013|Internal Medicine News
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EXPERT OPINION FROM THE INTERNATIONAL STROKE CONFERENCE
He was quick to add, however, that the ABCD2 score is no substitute for clinical judgment. Certain patients with a TIA should be sent straightaway to the ED regardless of their ABCD2 score. They include individuals with a hypercoagulable state, endocarditis, a crescendo event, known ipsilateral large-vessel stenosis or occlusion, or CT or MRI evidence of recent infarction.
"The ABCD2 score is not magic. A young person who is an IV drug user and has a 1-minute spell of diplopia is someone you’d worry about, and yet that person probably has an ABCD2 score of 0," Dr. Johnston noted.
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