11 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
brain w/o contrast ... +/- TEE (high Afib ... v Holter (r/o Afib ... stroke #workup #diagnosis ... #checklist #neurology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
- Compatible syndrome ... + MRI lesions + ... RingEnhancing #Lesions #Brain ... #causes #radiology ... #neurology
Causes of Ischemic Stroke - Differential Diagnosis Framework
Important to determine and treat the etiology behind because
morbidity Heart: • Arrhythmias ... : Afib* • Valvular ... thrombus, recent MI ... Antiphospholipid syndrome ... Ischemic #Stroke #CVA
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Demyelinating Syndrome ... autoantibodies that will cause ... thrombosis and/or blood-brain ... prevention (statin for CVA ... #neurology #rheumatology
BEE Syndromes - Non-inflammatory Causes

Immune-mediated conditions affecting the Brain, Eye, and Ear

Visual or auditory symptoms in
Non-inflammatory Causes ... affecting the Brain ... nervous system (CNS ... neuropathy (LHON) plus MRI ... #neurology #noninflammatory
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... due to decreased brain ... flow (VT/Vfib/Afib ... #Palpitations #Cardiology
Hypertrophic Pachymeningitis - Differential Diagnosis Framework

Pachymeningitis is a rare condition that causes areas of a layer
- Differential Diagnosis ... condition that causes ... spinal cord and brain ... sagging syndrome ... Pachymeningitis #HP #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
parietal lobes of the brain ... may precede the neurologic ... /CTA • Anterior ... the underlying cause ... #neurology
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
that results in CNS ... • Infectious causes ... ruled out • Brain ... brain and/or optic ... #management #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
Entering VA was ... MRI was ordered ... the hospital, diagnosed ... with MS, and started ... ophthalmology #neurology