13 results
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
neurologic deficit ... onset must be < 3 ... • Therapeutic anticoagulation ... #cva #management ... #neurology
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
and Management ... Immediate Workup Ischemic ... #Management #Algorithm ... #diagnosis #differential ... #neurology #CVA
Restarting Anticoagulation after TIA or Acute Ischemic Stroke

 • TIA → Consider (re-) starting a NOAC
Restarting Anticoagulation ... after TIA or Acute Ischemic ... starting a NOAC ≥ 1 ... starting a NOAC ≥ 3 ... #neurology #management
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 • Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Stroke - Differential ... Diagnosis Algorithm ... and Management ... subarachnoid hemorrhage Ischemic ... #management #neurology
Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
and workup 1) ... tests + imaging 3) ... Unique or multiple ischemic ... stroke - Amyloid ... #Differential #
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Workup Step #1 ... Uglucose Step #3 ... Eric Strong @DrEricStrong ... Hypernatremia #Management
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
near-syncope, syncope. 1. ... Decompensated HF • New ischemia ... • Digoxin 3. ... Anticoagulation ... #Algorithm
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Rhabdomyolysis - Differential ... Diagnosis and Management ... Heat iniury, Heat stroke ... decreased renal renal ischemia ... obstruction 3.
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Framework and Management ... Heat injury, Heat stroke ... perfusion → renal ischemia ... obstruction 3.
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... event, follow ACC algorithm ... Anticoagulation ... • <6mo since stroke ... medical and surgical management