42 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
Evaluate underlying cause ... +/- 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,
Endocarditis, Acute MI ... embolism, Occult a-fib ... EricsMedicalLectures/ #Stroke #causes ... #differential #diagnosis ... #neurology
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Evaluation and Management ... Algorithm Clinical ... #Algorithm #diagnosis ... #differential #neurology ... #CVA
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Clinical • ... Unexplained sinus tachycardia ... #Management #Cardiology
Restarting Anticoagulation after TIA or Acute Ischemic Stroke

 • TIA → Consider (re-) starting a NOAC
worsening or clinical ... by brain CT or MRI ... by brain CT or MRI ... #TIA #Stroke #CVA ... #neurology #management
MRI Brain Sequence Comparison: T1 vs T2 vs FLAIR
T1:
 - CSF is Dark
 - Grey Matter
MRI Brain Sequence ... T1 #T2 #FLAIR #MRI ... Brain #Comparison #clinical ... #radiology #diagnosis ... #neurology
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
in Stroke: • Clinical ... diagnosis of ischemic ... present, in which case ... #tPA #Stroke #cva ... #management #neurology
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
Evolution of MRI ... #Evolution #MRI ... Progression #Stroke #CVA ... #Clinical #Radiology ... Interpretation #Findings #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
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

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