36 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... brain w/o contrast ... ischemic #CVA #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
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
and Management ... speech • Time is brain ... Immediate Workup ... #diagnosis #differential ... #neurology #CVA
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... - Differential Diagnosis ... : • Vascular: Stroke ... vasoconstriction syndrome ... #neurology
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... (Many causes!) ... encephalitis) • Brain ... lesions (e.g. stroke ... #diagnosis #neurology
Causes of Ischemic Stroke - Differential Diagnosis Framework
Important to determine and treat the etiology behind because
Causes of Ischemic ... • Arrhythmias: Afib ... thrombus, recent MI ... Antiphospholipid syndrome ... #causes
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Contractility: • MI ... • AFib/AFlutter ... #Syncope #Cardiology ... #Algorithm #causes
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome ... able to copy Causes ... : Stroke (main cause ... ), Traumatic Brain ... #neurology #diagnosis
Hypertrophic Cardiomyopathy (HOCM) - Diagnosis and Management
Diagnosis
 1. Wall thickness 215 mm (TTE/CT/MRI) 
 2. Absence
and Management ... 215 mm (TTE/CT/MRI ... Absence of Secondary Cause ... Symptoms - Prevent Stroke ... #Management #Cardiology
Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
MRI, iADL scale, ... Alzheimer - 1st cause ... Aphaso-apraxo-agnosia syndrome ... Dementia - 2nd cause ... multiple ischemic stroke