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

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
Differential diagnosis ... on Brain Imaging ... #imaging #patterns ... #MRI #Neurology ... pathology #diseases #radiology
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... ) - BRUGADA SIGN ... - TRAUMATIC BRAIN ... SPIKED HELMET SIGN ... #Diagnosis #Cardiology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
PHANTOMS): • Pattern ... • Meningeal signs ... Systemic symptoms and signs ... Space-occupying brain ... #neurology #PHANTOMS
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
Imaging Patterns ... Pons: ODS #MRI ... Disorders #Clinical #Differential ... #Diagnosis #Radiology ... #Neurology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Diagnosis Framework ... Lack of UMN/LMN signs ... changes - Common pattern ... EMG) studies • MRI ... #Diagnosis #neurology
Inflammatory Myopathies
Dermatomyositis
 • Onset: Subacute
 • Pattern: Proximal
 • CK: Up to 50X ULN
 • Autoantibodies:
Anti-MDA5, anti-Mi ... heliotrope, shawl sign ... Associated Features: Diagnosis ... Inflammatory #Myopathies #differential ... #diagnosis #comparison
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... heart valves • MRI ... brain for cerebral ... often seen • MRI ... brain for cerebral
Hilar and mediastinal lymphadenopathy
In sarcoidosis the common pattern is right paratracheal and bilateral hilar adenopathy ('1-2-3-sign').
In
sarcoidosis the common pattern ... adenopathy ('1-2-3-sign ... #Diagnosis #Radiology ... Lymphadenopathy #Differential
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Compatible syndrome + MRI ... RingEnhancing #Lesions #Brain ... #differential # ... diagnosis #causes ... #radiology #neurology