14 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
syncope Tests: ECG ... , Telemetry, Cardiac ... , Carotid U/S, EEG ... , Brain MRI, Cardiac ... Syncope #diagnosis #workup
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Cost-Effectiveness Workup ... indications: • Echocardiogram ... Carotid US • Brain MRI ... • EEG • Cardiac ... stress testing • Cardiac
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
of chest pain ECG ... chest leads Cardiac ... MRI: https://www.grepmed.com ... Ultrasound #Clinical #Echocardiogram
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How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... a NCCT or • MRI ... Cardioembolic: • ECG ... #CVA #stroke #workup ... diagnosis #checklist #neurology
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... - No other workup ... Hypercoagulable #Workup
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... and Survey 4) Workup ... dilated IVC - Cardiac ... Shock - MI ... Cardiac surgery?
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Diagnosis and Workup ... No additional workup ... atypical symptoms): MRI ... inflammatory cause) • EMG ... Management #Treatment #Neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Non-neuromuscular disorder (Cardiac ... dystrophies Work ... electromyographic (EMG ... ) studies • MRI ... Differential #Diagnosis #neurology
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
peripheral nerve components ... MANIFESTATIONS: • The cardinal ... demyelinating or axonal • MRI ... - Spinal MRI may ... diagnosis #management #neurology