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Differential diagnosis for toxic/metabolic encephalopathies - Patterns on Brain Imaging

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
Differential diagnosis ... encephalopathies - Patterns ... #imaging #patterns ... #MRI #Neurology ... pathology #diseases #radiology
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... low attenuation pattern ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Diagram #Comparison
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
Imaging Patterns ... Pons: ODS #MRI ... #Patterns #Toxicology ... Disorders #Clinical #Differential ... #Diagnosis #Radiology
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Pulmonary #CTChest ... #Nodular #Pattern ... NodularPattern #Differential ... #Comparison #Table
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Sister had MI in ... Differential/diagnosis ... (II, III, AVF)(pattern ... #clinical #cardiology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... nervous system: Brain ... • Infectious: Brain ... changes - Common pattern ... ) studies • MRI
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
parietal lobes of the brain ... Imaging Patterns ... Vascular narrowing on MRA ... Reversible course Differential ... parietal lobes of the brain
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
important finding on a chest ... has a limited differential ... #Diagnosis #Radiology ... Lobar #Collapse #Patterns ... #Comparison #RadiologyAssistant
Headaches Overview - Primary vs Secondary Headaches

What’s the Core Difference?
 • Primary headache = headache is
the mnemonic "Mi-T-C ... • Vascular (e.g ... stiffness) • Brain ... (>50 years) P Pattern ... Primary #Secondary #Comparison