Risk Management Pitfalls For Transient Ischemic Attack
“The patient denied symptoms of a stroke, so I did not consider TIA.”
In TIA, history is often difficult, with vague symptoms that may not be suspected to be of ischemic etiology if they are not meticulously ascertained by an astute provider. Patients may dismiss or even fail to recognize certain symptoms.
“Although the patient reported multiple, brief episodes, she felt normal in the ED, so I sent her home.”
Stuttering symptoms are of particular concern and warrant aggressive care. Be sure to ask about multiple episodes and take them very seriously, even if the patient is normal at the time of the ED encounter.
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