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

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
Differential diagnosis ... MD @drcyncity #Differential ... imaging #patterns #MRI ... #Neurology #pathology ... #diseases #radiology
Evolution of stroke on CT and MRI. 

Day 1: NCHCT demonstrates obscure left insular cortex. No
stroke on CT and MRI ... obscure left insular cortex ... on T2-weighted MRI ... Progression #Timeline #Neurology ... #Radiology #Findings
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Focal findings on neurologic ... electrolytes, CXR ... , ECG, UA), Advanced ... CSF, thyroid, MRI
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential ... Diagnosis #Causes #cardiology ... #MRI
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
and Cingulate Cortex ... Pons: ODS #MRI ... Disorders #Clinical #Differential ... #Diagnosis #Radiology ... #Neurology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
to Headaches - Differential ... papilledema • Horner ... CNS infection (e.g ... #Headache #Differential ... Diagnosis #Algorithm #neurology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
arrythmias Diagnostics: EKG ... ($$$), PET CT/MRI ... ($$$$) CORE IM ... Stress #Testing #cardiology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
ischemic CVA (core ... a NCCT or • MRI ... Detected on NCCT vs MRI ... Cardioembolic: • ECG ... diagnosis #checklist #neurology
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
Evolution of MRI ... it possible to differentiate ... #Evolution #MRI ... CVA #Clinical #Radiology ... Interpretation #Findings #Neurology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology