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diagnosis radiology clinical msk management neurology classification criticalcare fracture shock stroke endocarditis evolution findings interpretation overview posterior progression shoulder syncope
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
(core, penumbra ... a NCCT or • MRI ... Evaluate underlying cause ... No major-risk embolic ... Ruled out other causes
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 ... No abnormal lesion ... #Stroke #CVA #MRI ... Timeline #Neurology #Radiology
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
- Most Common Cause ... attributable to acute MI ... TTE, TEE, CT or MRI ... #diagnosis #differential ... scoring #criteria #cardiology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
Ring-Enhancing Lesions ... Compatible syndrome + MRI ... #Brain #differential ... #diagnosis #causes ... #radiology #neurology
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Differential Diagnosis ... : • CVA/TIA ... Concussion Other Causes ... #differential # ... ophthalmology #causes
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 ... Progression #Stroke #CVA ... #Clinical #Radiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Cause Injury By ... Marantic (NTBE) Differential ... Treat underlying cause ... or destructive lesion ... diagnosis #management #cardiology
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology Imaging Findings: • Os trigonum which has marrow
Case description ... • MRI: Posterolateral ... hallucis longus Differential ... torn ligament on MRI ... osteochondral lesion
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology Imaging Findings: • Arrows identifying the characteristic edema-like signal
Periphyseal Edema (FOPE lesion ... ) - MSK Radiology ... repeated follow-up MRI ... (save $$) Differential ... #clinical #mri
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... contractility) - Acute MI ... exacerbation (any cause ... Massive pulmonary embolism ... tamponade - Tension
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