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

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
Differential diagnosis ... - Patterns on Brain ... imaging #patterns #MRI ... #Neurology #pathology ... #diseases #radiology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
a NCCT or • MRI ... brain w/o contrast ... Detected on NCCT vs MRI ... stroke #workup #diagnosis ... #checklist #neurology
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Management Algorithm Clinical ... speech • Time is brain ... Management #Algorithm #diagnosis ... #differential # ... neurology #CVA
MRI Brain Sequence Comparison: T1 vs T2 vs FLAIR
T1:
 - CSF is Dark
 - Grey Matter
MRI Brain Sequence ... T1 #T2 #FLAIR #MRI ... #Brain #Comparison ... #clinical #radiology ... #diagnosis #neurology
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
Pons: ODS #MRI ... #Disorders #Clinical ... #Differential # ... Diagnosis #Radiology ... #Neurology
Timeline for Progression of T2WI and DWI Findings in Acute Stroke
 - In the acute phase
phase T2WI will be ... - DWI in brain ... #Stroke #CVA #MRI ... Progression #Timeline #Neurology ... #Radiology #Findings
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Compatible syndrome + MRI ... nodules, may also see ... RingEnhancing #Lesions #Brain ... #differential # ... #radiology #neurology
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
can only be confirmed ... heart valves • MRI ... brain for cerebral ... often seen • MRI ... #table
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
Evolution of MRI ... it possible to differentiate ... Progression #Stroke #CVA ... #Clinical #Radiology ... Interpretation #Findings #Neurology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ischemia -> Coronary CTA ... (making clear to ... Since this may be ... Angina #ChestPain #Diagnosis ... Management #Algorithm #Cardiology