7 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
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
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
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... Entering VA was ... MRI was ordered ... the hospital, diagnosed ... ophthalmology #neurology
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 ... neuropathy (LHON) plus MRI ... consistent with MS ... #neurology #noninflammatory
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
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