9 results
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Causes of Ischemic ... Diagnosis Algorithm ... infarction • Pulmonary ... #Stroke #CVA #Neurology ... #Causes
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Hemorrhagic (IPH, SAH) Ischemic ... Cardioembolic: Atrial ... and paradoxical embolism ... #causes #differential ... #diagnosis #neurology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
+/- TEE (high Afib ... v Holter (r/o Afib ... No major-risk embolic ... #CVA #stroke #workup ... diagnosis #checklist #neurology
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 • Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
and Management ... subarachnoid hemorrhage Ischemic ... Atherosclerosis • Embolic ... #CVA #Differential ... #management #neurology
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
Clinical diagnosis of ischemic ... neurologic deficit ... present, in which case ... #cva #management ... #neurology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... findings in acute PE ... evaluating for other causes ... Arrhythmia* (e.g., A-Fib ... ECG leads) RV Ischemia
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Well score for PE ... • CTA/VQ scan
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Cause Injury By ... /ischemic insult ... Endocarditis #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... b) CHF c) CVA ... event, follow ACC algorithm ... • <6mo since stroke ... medical and surgical management