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differential parinauds territories algorithm blood cardiology causes clinical constrictive drift echocardiogram effects headache hematuria imaging localization mnemonic nephrology pericarditis phantoms
Effects of Strokes by Location - Anterior vs Posterior Localization Anterior Circulation - MCA -
#Syndromes #CVA ... Territory #Symptoms #Signs ... Localization #Effects #Neurology ... #Diagnosis #Table ... Review in Clinical Neurology
Progression of Imaging Findings in Acute Stroke - Timeline Onset → Hours → Days → Weeks →
CT • DWI • ADC ... CBarreraMD #CVA ... #Timeline #diagnosis ... #Progression #radiology ... #neurology
Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
retraction (Collier's sign ... → "setting sun sign ... Vascular disease (stroke ... #diagnosis #pineal ... #neurology
Pronator Drift Testing for Stroke Subtle extensor weakness - Sign of Upper motor neuron lesion In detecting CT/MRI
Drift Testing for Stroke ... extensor weakness - Sign ... Drift #Testing #Stroke ... #physicalexam #diagnosis ... #neurology #cva
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... retraction (Collier's sign ... "setting sun" sign ... Vascular disease (stroke ... #neurology #diagnosis
Clinical Features and Vascular Territories of Stroke Anterior circulation—anterior cerebral artery (ACA) - Contralateral leg weakness Anterior circulation—middle
Territories of Stroke ... without cortical signs ... #Territories #Stroke ... #CVA #Diagnosis ... #Neurology
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
papilledema • Horner syndrome ... • Meningeal signs ... Systemic symptoms and signs ... conditions: • Stroke ... #Algorithm #neurology
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
- Differential Diagnosis ... Impairment: • Acute stroke ... Lack of UMN/LMN signs ... aminotransferases • Serology ... #neurology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... pain hematuria syndrome ... hematuria • Signs ... Hematuria: • Stone ... #causes #urology
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
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