TIA (Transient Ischemic Attack) - Internal Medicine Residency Series

#theusmlechannel #usmle #TIA
Welcome to your 1st year of Internal Medicine Residency! We are sure you have worked very hard to be where you are, however your biggest challenge is yet to come! We want to give you a head-start and help you shine by teaching you how to properly manage the 20 most common cases that you will encounter as a first year INTERN!
About the USMLE CHANNEL - We are Niya and Raj, and we are here to share with you our passion for medicine!
We have successfully passed all USMLE STEPs and we know what YOU NEED to know, in order to SCORE phenomenally HIGH and enjoy RESIDENCY in the UNITED STATES.
We are creating medical content videos for all STEPs - yes ALL of them-1, 2 and 3! Our videos are finely tuned, to provide you with the complete understanding of the most updated material, that will help you pick the right answers on the tests and in your future clinical practice. Because what you are studying here, trust us, you will be needing during your residency training!
In our videos, we will be using our very own PERSONALLY CRAFTED MIND MAPS, that will make all that large content seem small and make concepts stick. We'll also be integrating quite a lot, which in our years of teaching experience has proven to give the best results.
We have walked your journey, and if when starting it, we knew what we know now, life would have been so much easier. And that’s the idea behind the birth of this channel, to be here for you and give you the knowledge that will help you succeed.
Enjoy our videos! Stay updated! Love what you are learning! Because in the end - IT IS ALL WORTH IT!
DISCLAIMER: The Video Content has been made available for informational and educational purposes only. The Video Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health professionals and educators for clarification or continued education on any materials expressed herein prior to patient treatment and skills implementation.
Attributions:
Music -www.bensound.com;
Photo by Aaditya Arora from Pexels

[@IM.MEDICAL]

Hi everyone! I hope you are enjoying this video, as much as we enjoyed making it! Feel free to leave us a comment with your thoughts and questions. Enjoy you studies!

[@janicepolley7518]

You have just told me just what I already knew, I am 73, In 2004 I had Endocarditis, as a result I have two mechanical heart valves, since then I have had one of the valves replaced, and another op blocking leaks, at the moment I am waiting for an intravenous op to block other leaks, , over the last around three years I have had numerous TIAs, I used to go to hospital, but if I have one now I just stay at home and take things easy, the doctors at the hospital have so many different diagnoses I just get fed up, I am taking warfarin and one of the doctors told me this is more or less the cure

[@nehankhan4347]

You're actually an amazing doctor, why do you not have more followers?! the radiology part you explained was just bonus about the contrast, make more videos im sure you'll flourish on youtube!!!!

[@Moonpie657]

I had Amaurosa fugax this Tuesday morning while driving !!!!! Went to hospital was admitted and they ran tests ! My heart isn’t right ! I’m going to different hospital !

[@IM.MEDICAL]

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[@alhaah777]

Thank you. Good presentation.

[@sofiyamaniyar9518]

Very nice tq i was searching for this topic only

[@darwinhughey2958]

Abcd ... Good stuff!

[@Cgh432]

Excellent

[@suneelsharma1763]

woww

[@medicomuslimahdr]

Thanks a lot.helpful

[@himarkburdett9378]

This is a scary video given that about 18 months ago I got addiced to junk food and was drinking more and conbiand with no exercise I gained 85lbs in 6 months and started to feel unwell and whent to the Doctors my blood pressure was up and be came pregnant diabetic and have last some weight since. I was a T I A waiting to happen

[@kalandrakascebu9999]

just had it 3 days ago and im still in the hospital for observation and management. my symptoms went away after 46 hrs. slurred speech, weakness, out of balance, numbness in the face down to my feet incl arms. now im 100% back on my feet bt scared of reoccurence. hope id get better mentally. also, I never lived a risky lifestyle. so Im sad all my efforts didnt work out to my favor as I always expectd.

[@Anurag_Saxena]

My father aged 70 years had dizziness yesterday morning... I've been reading about TIA since then... In fact I didn't sleep the whole night... I've read a few guidelines several times again and again... I youtubed videos but I didn't find any video as comprehensive as yours. . Great piece of work... I really needed a detailed video. . From India Lots of good wishes.. Presentation and delivery is awesome

[@IM.MEDICAL]

Thank you for sharing with us. And I am glad you liked the video! Send our regards to your father! All the best!

[@miracleogondahwokama9344]

Nice

[@mdtahmidhossenfahim3805]

my father blood pressure rised after 4 days of tia....bt the doc didn't suggested any hypertensives....what should i do

[@jyotia7033]

A 80yrs male pt has HTP since 4 years he has got admitted in the hospital with complaints of giddiness and slurred speech ,fall history with unconsciousness .on the 7 the day he was normal but his speech still slurred.what's the diagnosis then is it TIA..

[@sohailmerchant]

I don’t know if you mentioned this, but I looked back to the video and I didn’t see it. What about MR head/brain without contrast? At my hospital, we have MRA of head (or CTA), MRA of neck (or CTA), MR of head/brain without contrast. For all strokes and Tias we also order the MR of head/brain w/o con.

[@castlefamjapanlife6000]

Hi, my husband just had a suspected TIA yesterday morning....he had only slurred in speech and numbness on tounge... that lasted 5-10 minutes , the time we arrived in the hospital, he is perfectly fine.... the doctor did an mri and no traces of stroke found.... the doctor assessment of him is low risk for a strike occurrence within week....that why he is just an outpatient....some series of test were also made yesterday and today...but he is not given any medicine like aspirin....is that ok?

[@TheMEEXER]

where I can find ASCVD that you talked about it one of your videos?

[@IM.MEDICAL]

Hi, if you want to calculate the ASCVD score, just type in in google and go to the MDCALC app. If you want to read up more about the score itself- Uptodate is your best resource. Hope this helps.

[@SarkisKlinik]

hi,should statins be given even if there is no hyperlipidemia?

[@scarred10]

Yes,control every facotor that might contribute to atherosclerosis.

[@Thebluediamoundvision831]

Hey I know this has been a long time and I trust you are feeling better and doing well. I had TIA on Nov 24, 2020. I am 42 years old and this is the first time this ever happened to me, it is one of the scariest moments of my life, I was rushed to the ER and tons of exams was done, mri confirmed that I had suffered three strokes which I was not aware off, however they did not find the cause of it, this has left me more confused. My greatest challenge here is the post stroke symptoms, I have not been myself ever since this happened, I am severely fatigued, low pressure, rapid heart beat, headaches and just a general feelings of being unwell. I never had any underlying problems prior to this attack, never had diabetes or high pressure. They put me on aspirin and satin because according to them my cholesterol is a bit high. But guys these after attack symptoms are killing me, can anyone relate? How long will this weird symptoms disappear, I missed being and feeling my normal self, right now I feel like a monster has enter in my body, I feel my brain vibrate and I can't think straight. It is a feeling that is just hard to explain. Grateful for any tip or if anyone can relate.

[@chikilin4831]

My mom is being treated for this at the hospital right now . How do you feel now? Im so worried about my mom shes 52

[@benskiba8297]

@@Thebluediamoundvision831 have you fully recovered?

[@Thebluediamoundvision831]

@@benskiba8297 well I feel much better than before, I wouldn't say 100 percent but I feel far better now except for some lingering symptoms like palpitations and margrine.

[@benskiba8297]

@@Thebluediamoundvision831 did you do anything to help with the after effects?? Iv heard acupuncture is good

[@Thebluediamoundvision831]

@@benskiba8297 no I did not do that but I will consider doing so. Thanks very much for your advice

[@kathywhitaker1042]

What if you had symptoms but MRI showed nothing ...still TIA

[@kathywhitaker1042]

So I'm high risk...scary

[@IM.MEDICAL]

HI, Kathy. TIA definition = you had neurologic deficits, then those symptoms went away, and MRI showed no evidence of acute stroke. If a patient still has neurologic deficits, and MRI ruked out stroke, then you need to look for other causes of the deficits other than stroke, like seizure with Todd's paralysis, MS (needs MRI with gadolinium contrast to Dx), hypoglycemia, hyponatremia, hypocalcemia, hypotension, etc

[@telecasterbear]

I had my first TIA at age 13. Not cool.

[@subashb7650]

How are you now

[@telecasterbear]

@@subashb7650 all good now. Age 61 and retired.

[@subashb7650]

Now I had Tia what to do sir

[@subashb7650]

But doctor said there is no problem in MRI, but my right leg get stuck after sitting for 10 minutes and also eye blurr some time and dizziness also, how u got cleared

[@telecasterbear]

@@subashb7650 no interaction from doctor. The TIA has not returned.

[@yasiraslam7490]

Immature actions