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diagnosis neurology management endocarditis findings interpretation ischemic mri progression radiology timeline abdominal checklist clinical distention encephalopathy evaluation infectiousdiseases perioperative posterior
Causes of Stroke - Ischemic, Hemorrhagic, Subarachnoid - Differential Diagnosis Algorithm • Ischemic • Intracerebral Hemorrhage
Causes of Stroke ... • Ischemic ... #CVA #Neurology ... #Differential # ... #Causes
Stroke Evaluation and Management Algorithm Clinical suspicion of stroke (BE FAST) • Balance loss • Eyes: vision
Stroke Evaluation ... and Management Algorithm ... Immediate Workup Ischemic ... #diagnosis #differential ... #neurology #CVA
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
A) Initial Evaluation ... Evaluate underlying cause ... Cardioembolic: • ECG ... Ruled out other causes ... #CVA #stroke #workup
Evolution of MRI Findings in Stroke MR images at five subsequent time points in a 67-year-old woman
Findings in Stroke ... ischemic lesion ... it possible to differentiate ... #CVA #Clinical ... #Findings #Neurology
Causes of Ischemic Stroke - Differential Diagnosis Algorithm Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia - Large
Causes of Ischemic ... Stroke - Differential ... Diagnosis Algorithm ... #Stroke #CVA #Neurology ... #Causes
Evolution of stroke on CT and MRI. Day 1: NCHCT demonstrates obscure left insular cortex. No
Evolution of stroke ... thought to represent ischemic ... #Stroke #CVA #MRI ... #Radiology #Findings ... #Evolution
Abdominal Distention - Differential Diagnostic Algorithm Ascites Bowel Dilatation Other Causes Mechanical Obstruction • Adhesions 60% • Volvulus 3% •
Diagnostic Algorithm ... Dilatation Other Causes ... Pseudo-obstruction Acute ... Infectious • Ischemic ... Spinal Injury, Stroke
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... b) CHF c) CVA ... event, follow ACC algorithm ... one post op Cardiology ... • <6mo since stroke
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
narrowing on MRA/CTA ... Reversible course Differential ... Constipation, Seizures, Stroke ... syndrome, ADEM, Acute ... the underlying cause
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Culture (+): Acute ... Septic Emboli Cause ... Early embolic/ischemic ... Marantic (NTBE) Differential ... diagnosis #management #cardiology
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