44 results
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
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
+/- TEE (high Afib ... v Holter (r/o Afib ... ischemic #CVA #stroke ... #workup #diagnosis ... #checklist #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
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... • Measurable neurologic ... present, in which case ... #cva #management ... #neurology
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
and Management ... Algorithm Clinical ... #Management #Algorithm ... #diagnosis #differential ... #neurology #CVA
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 ... #CVA #neurology ... #management
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
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Clinical • ... Unexplained sinus tachycardia ... #Management #Cardiology
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
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
Evolution of MRI ... Findings in Stroke ... #Progression #Stroke ... #CVA #Clinical ... #Findings #Neurology