17 results
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
FAST) • Balance loss ... • Eyes: vision loss ... Immediate Workup ... Ischemic Stroke ... differential #neurology #CVA
Differential Diagnosis for Vision Loss
Unilateral, Painful Vision Loss:
 • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
Lens dislocation, Ischemic ... to eye, Trauma Bilateral ... : • Stroke, Medication ... differential #diagnosis #causes ... #ophthalmology
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
Vision Loss - Differential ... Vein Occlusion, Ischemic ... , Painless: Stroke ... Differential #Diagnosis #causes ... #ophthalmology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... up an ischemic CVA ... ) B) Evaluate ischemic ... udaygulati #ischemic ... #CVA #stroke #workup
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
Clinical diagnosis of ischemic ... age >80 or other less ... present, in which case ... incomplete list): • Ischemic ... #cva #management
ACA infarcts are rare because of the collateral circulation provided by the anterior communicating artery. ACA infarct
hemiparesis with loss ... These are uncommon causes ... of ischemic infarctions ... cases in series ... anteriorcerebralartery #cva
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Constricted pupils less ... , uveitis) • Bilateral ... Nicotine, Heat Stroke ... hemorrhage, Pontine CVA ... differential #diagnosis #ophthalmology
Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
Cognitive impairment + loss ... Alzheimer - 1st cause ... progressive - Loss ... Unique or multiple ischemic ... stroke - Amyloid
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA)

1) Is visual loss caused
Anterior ischemic ... 1) Is visual loss ... Definition: acute ischemic ... GiantCellArteritis #GCA #Rheumatology ... #Ophthalmology
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Isolated lower, bilateral ... ataxia, hearing loss ... , facial nerve ischemia ... symptoms): MRI+gad (stroke ... CNS inflammatory cause