9 results
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Stroke Evaluation ... Immediate Workup ... Management #Algorithm #diagnosis ... #differential #neurology ... #CVA
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... suspicion) • +/- bubble ... #stroke #workup ... #diagnosis #checklist ... #neurology
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Drift Testing for Stroke ... Subtle extensor ... Drift #Testing #Stroke ... #physicalexam #diagnosis ... #neurology #cva
Gitelman Syndrome Pathophysiology
Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
Gitelman Syndrome ... in the distal tubule ... Contraction → ↑ Renin ↑ Ca ... Pathophysiology #nephrology ... #diagnosis
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome ... autosomal dominant kidney ... of echogenic kidneys ... dr_missyhanna #Gitelman ... #Workup #nephrology
Inherited Defects in Kidney Tubule Epithelial Cells

Renal glucosuria - Na+-dependent glucose cotransporter
Cystinuria - Amino acid transporter
Bartter
Inherited Defects in Kidney ... Tubule Epithelial ... ascending limb Gitelman ... Inherited #Defects #Kidney ... #Nephrology #Diagnosis
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 •
- Differential Diagnosis ... Bacteremia, Sepsis • Kidneys ... : CKD, ESRD • CV ... • Neuro: UMN (stroke ... #causes #neurology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
alkalosis • Kidney ... Bartter syndrome, Gitelman ... in the proximal tubule ... urine #Algorithm #nephrology ... #differential #diagnosis
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
Entering VA was ... An APD was noted ... this are tumors, strokes ... the hospital, diagnosed ... ophthalmology #neurology