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Cram The Pance

S1E42 Stroke

Cram The Pance

Cram The PANCE

Courses, Education

5972 Ratings

🗓️ 14 January 2022

⏱️ 41 minutes

🧾️ Download transcript

Summary

Stroke review for your Pance, Panre, and Eor's.
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Included in review: Ischemic stroke, hemorrhagic stroke, TPA (thrombolytics), middle cerebral artery, posterior cerebral artery, anterior cerebral artery, TIA (transient ischemic attack), subarachnoid hemorrhage, subdural hematoma, epidural hematoma, intracerebral hemorrhage, mechanical thrombectomy.

Transcript

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0:00.0

All right, so this podcast is going to be on stroke. I have a few

0:04.0

pneumonics in there to help you remember the things you need to know for your

0:06.3

exam and of course I'll try to keep it as brief as I can just to focus on the

0:09.6

things you really need to know for your exam questions. As always, thank you so much for all of the really nice comments.

0:15.1

I truly do appreciate that.

0:16.5

So thank you for that.

0:17.6

Let's go ahead and get started with stroke.

0:18.9

We'll start with our TIA, our transient ischemic attack.

0:22.0

Keep this part brief. There's not a lot of high-yield stuff from TIA,

0:26.0

just a few things that you need to know of.

0:27.5

So first, what is it?

0:29.0

So TIA is a transient episode of neurologic dysfunction caused by focal brain spinal cord or retinal

0:35.4

eschemia without acute infarction. That's the official definition from the

0:39.9

American Heart Association and the American Stroke Association.

0:43.8

So a TIA, it's a clinical diagnosis.

0:45.7

It's often not the easiest diagnosis to make because the presentation can be highly variable.

0:50.8

There's many differentials to consider and often by the time the patient presents to you,

0:54.5

their symptoms are already gone, but essentially a TIA looks exactly like a stroke and presentation,

0:59.6

but the symptoms resolve, they get better.

1:01.4

That's the key.

1:02.4

There's no tissue infar key. There's no tissue

1:03.6

injury. So to put a really simply, TIA, there's a clot in a vessel,

...

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