29 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... +/- TEE (high Afib ... #stroke #workup ... #diagnosis #checklist ... #neurology
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
and Management ... Immediate Workup ... #Management #Algorithm ... #diagnosis #differential ... #neurology #CVA
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
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... • Measurable neurologic ... present, in which case ... #cva #management ... #neurology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Contractility: • MI ... • AFib/AFlutter ... #Syncope #Cardiology ... #Algorithm #causes
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
CHADSVASc Score - Stroke Risk in Atrial Fibrillation

A clinical mnemonic to estimate stroke risk in atrial
CHADSVASc Score - Stroke ... Vascular disease (MI ... #Fibrillation #AFib ... #CHADS2VASc #Diagnosis ... #neurology #cardiology
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
and Workup: • ... atypical symptoms): MRI ... +gad (stroke, CN7 ... CNS inflammatory cause ... #Neurology