48 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
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Algorithm Clinical ... Immediate Workup Ischemic ... #Algorithm #diagnosis ... #differential # ... neurology #CVA
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 • Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Stroke - Differential ... Diagnosis Algorithm ... and Management ... subarachnoid hemorrhage Ischemic ... #management #neurology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
you work up an ischemic ... a NCCT or • MRI ... Cardioembolic: • ECG ... stroke #workup #diagnosis ... #checklist #neurology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Clinical • ... gallop • Abnormal ECG ... #Management #Cardiology
MRI Brain Sequence Comparison: T1 vs T2 vs FLAIR
T1:
 - CSF is Dark
 - Grey Matter
MRI Brain Sequence ... T1 #T2 #FLAIR #MRI ... Brain #Comparison #clinical ... #radiology #diagnosis ... #neurology
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Hemorrhagic (IPH, SAH) Ischemic ... Endocarditis, Acute MI ... Stroke #causes #differential ... #diagnosis #neurology
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Erythematosus (SLE) Clinical ... that will cause ischemia ... Lumbar Puncture, EEG ... Erythematosus #SLE #CNS #neurology ... #management #treatment
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... - Ischemia MI ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Restarting Anticoagulation after TIA or Acute Ischemic Stroke

 • TIA → Consider (re-) starting a NOAC
after TIA or Acute Ischemic ... worsening or clinical ... by brain CT or MRI ... #Stroke #CVA #neurology ... #management