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Acute Ischemic Stroke Diagnosis and Management

#Ischemic #Stroke #Acute #Diagnosis #Management #Workup
Acute Ischemic Stroke ... Diagnosis and Management ... #Ischemic #Stroke ... #Acute #Diagnosis ... #Management #Workup
Causes of Stroke - Ischemic, Hemorrhagic, Subarachnoid - Differential Diagnosis Algorithm
 • Ischemic
 • Intracerebral Hemorrhage
Causes of Stroke ... - Ischemic, Hemorrhagic ... • Ischemic ... #CVA #Neurology ... #Causes
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Stroke Etiologies ... Hemorrhagic (IPH, SAH) Ischemic ... Endocarditis, Acute ... #causes #differential ... #diagnosis #neurology
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Immediate Workup ... Ischemic Stroke ... Management #Algorithm #diagnosis ... #differential # ... neurology #CVA
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... of ischemic stroke ... • Measurable neurologic ... present, in which case ... incomplete list): • Ischemic
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... (<72 hours) - Differential ... Diagnostic Algorithm ... musculoskeletal causes ... • Mesenteric ischemia
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... Artery Stenosis, Abdominal ... Other • ATN: Ischemia ... #Diagnosis #nephrology ... #causes #algorithm
Differential Diagnosis of Transient Ischemic Attack and Stroke
 - TIA/stroke 
 - Seizure 
 - Hypoglycemia/hyperglycemia
Differential Diagnosis ... of Transient Ischemic ... Attack and Stroke ... Mimics #CVA #TIA #Differential ... #Diagnosis #Neurology
Causes of Approach to Altered Level of Consciousness - Workup
Clinical Exam - Focal
 • Trauma
 •
Causes of Approach ... • Trauma • Stroke ... Hemorrhage • Ischemia ... #diagnosis #workup ... #algorithm #Causes
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Polyneuropathy, Acute ... stroke, Acute spinal ... #differential # ... diagnosis #table ... #neurology