14 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
+/- TEE (high Afib ... v Holter (r/o Afib ... #CVA #stroke #workup ... #diagnosis #checklist ... #neurology
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Hemorrhagic (IPH, SAH) Ischemic ... 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
Causes of Ischemic ... • Arrhythmias: Afib ... Antiphospholipid syndrome ... #Stroke #CVA #Differential ... #Diagnosis #causes
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... of ischemic stroke ... present, in which case ... #cva #management ... #neurology
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Causes of Ischemic ... Stroke - Differential ... Diagnosis Algorithm ... - Ascending Aorta ... #Stroke #CVA #Neurology
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 #
Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
workup 1) Clinical ... MRI, iADL scale, ... Aphaso-apraxo-agnosia syndrome ... Unique or multiple ischemic ... stroke - Amyloid
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
< 30 years • Aorta ... Arteritis): • Aorta ... oligoclonal bands • MRI ... tract, and often causes ... #Rheumatology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... /CTA • Anterior ... Constipation, Seizures, Stroke ... the underlying cause ... #neurology
One and a Half Syndrome on Physical Exam

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