22 results
Differential diagnosis for toxic/metabolic encephalopathies - Patterns on Brain Imaging

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
Differential diagnosis ... for toxic/metabolic ... imaging #patterns #MRI ... #Neurology #pathology ... #diseases #radiology
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... - Differential ... Neurocysticercosis, PML • Metabolic ... Hyperglycemia, Hyponatremia ... #neurology
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
(Many causes!) ... * (most common cause ... encephalitis) • Brain ... Syndrome #diagnosis #neurology ... #differential
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... - Differential ... tubal acidosis and metabolic ... UNa > 20: • Acute ... #nephrology
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
Brain Disorders ... Pons: ODS #MRI ... #Clinical #Differential ... #Diagnosis #Radiology ... #Neurology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acute or chronic ... Differentials? ... Compensation, Acute ... (AG) = {Na - (Cl ... Diagnosis #Summary #Nephrology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Compatible syndrome + MRI ... RingEnhancing #Lesions #Brain ... #differential # ... diagnosis #causes ... #radiology #neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Impairment: • Acute ... nervous system: Brain ... ) studies • MRI ... #Diagnosis #neurology
Causes of Polyuria - Differential Diagnosis Algorithm
Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min)
Osmotic
Causes of Polyuria ... - Differential ... concentration (e.g ... Recovery from Acute ... #Polyuria #Nephrology
Causes of Status Epilepticus in Adults
METABOLIC DISTURBANCES
Hepatic encephalopathy
Hypocalcemia
Hypoglycemia or hyperglycemia
Hyponatremia
Uremia
INFECTIOUS PROCESSES
Central nervous system abscess
Encephalitis
Meningitis
WITHDRAWAL SYNDROMES
Alcohol
Antiepileptic drugs
Baclofen
Barbiturates
Benzodiazepines
CENTRAL
Epilepticus in Adults METABOLIC ... hyperglycemia Hyponatremia ... malformations Brain ... Epilepticus #Seizures #Differential ... #neurology