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Stroke Evaluation and Management Algorithm Clinical suspicion of stroke (BE FAST) • Balance loss • Eyes: vision
• Eyes: vision loss ... Immediate Workup ... Management #Algorithm #diagnosis ... #differential #neurology ... #CVA
Effects of Strokes by Location - Anterior vs Posterior Localization Anterior Circulation - MCA -
Effects of Strokes ... #Syndromes #CVA ... Localization #Effects #Neurology ... #Diagnosis #Table ... Review in Clinical Neurology
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
Indications for tPA in Stroke: • Clinical diagnosis of ischemic stroke • Measurable neurologic deficit •
: • Clinical diagnosis ... • Measurable neurologic ... age >80 or other less ... #cva #management ... #neurology
Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
Parinaud's Syndrome ... upgaze - Light-near ... Vascular disease (stroke ... #diagnosis #pineal ... #neurology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... , Cushing syndrome ... #Workup #Algorithm ... #nephrology #sodium
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... • renal volume loss ... • nephrotic syndrome ... #Nephrology
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... • Light-near dissociation ... Vascular disease (stroke ... neudrawlogy #Parinauds #syndrome ... #neurology #diagnosis
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
Diagnosis Framework ... include a: • Neurologic ... Diabetes mellitus • Stroke ... II ○ Susac’s syndrome ... trauma ○ MS, CVA
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