18 Aug 2021
23m

#290 Stroke and TIA Triple Distilled

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The Curbsiders Internal Medicine Podcast

The Curbsiders, an internal medicine podcast, presents a "triple distilled" episode revisiting key insights on stroke and TIA from a prior discussion with Dr. Chris Favilla. The hosts, Dr. Matthew Frank Watto, Paul Nelson Williams, and Beth Garbitelli, discuss correlating imaging with clinical presentation, utilizing the ABCD2 score for risk stratification, and determining appropriate workup strategies (parenchymal, vascular, and cardiac). They address nuances such as when to consider thrombophilia workups or PFO closure, and the importance of extended cardiac monitoring for embolic stroke of unknown source (ESUS). The conversation also covers treatment strategies, including the use of high-dose statins and antiplatelet therapy, highlighting the shift towards shorter courses of dual antiplatelet therapy in certain cases.

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