34 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
+/- TEE (high Afib ... v Holter (r/o Afib ... #stroke #workup ... #diagnosis #checklist ... #neurology
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Cardioembolic: Atrial fib ... Endocarditis, Acute MI ... embolism, Occult a-fib ... #causes #differential ... #diagnosis #neurology
Causes of Ischemic Stroke - Differential Diagnosis Framework
Important to determine and treat the etiology behind because
• Arrhythmias: Afib ... thrombus, recent MI ... Antiphospholipid syndrome ... #CVA #Differential ... #Diagnosis #causes
Effects of Strokes by Location - Anterior vs Posterior Localization

Anterior Circulation 
 - MCA 
 -
Effects of Strokes ... #Syndromes #CVA ... #Diagnosis #Table ... Comprehensive Review in Clinical ... Neurology - https
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... • Measurable neurologic ... present, in which case ... #cva #management ... #neurology
CHADSVASc Score - Stroke Risk in Atrial Fibrillation

A clinical mnemonic to estimate stroke risk in atrial
Fibrillation A clinical ... Vascular disease (MI ... #Fibrillation #AFib ... #CHADS2VASc #Diagnosis ... #neurology #cardiology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... → Diagnostic of ... Hematuria: • Stone ... renal vein between aorta ... #causes #urology
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Causes of Ischemic ... Stroke - Differential ... Diagnosis Algorithm ... - Ascending Aorta ... #CVA #Neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Posterior Circulation Stroke ... Artery occlusion) Clinical ... Findings: • Nausea ... #Wallenbergs #neurology ... #diagnosis
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Erythematosus (SLE) Clinical ... Demyelinating Syndrome ... autoantibodies that will cause ... prevention (statin for CVA ... #rheumatology #