31 results
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
and negative (normal ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Evaluation and Management ... Immediate Workup ... #Algorithm #diagnosis ... #differential #neurology ... #CVA
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... Evaluate underlying cause ... #stroke #workup ... #diagnosis #checklist ... #neurology
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
in patient with normal ... Testing #Stroke #physicalexam ... #diagnosis #neurology ... #cva
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential Diagnosis ... Fanconi syndrome, CA ... #Framework #Workup ... #phosphate #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... and Differential Diagnosis ... osmolarity If cause ... investigations abnormal ... #nephrology #causes
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
- Diarrhea pH Normal ... Differential #Algorithm #Diagnosis ... #Causes #Workup ... #Nephrology
Causes of Polyneuropathy - Differential Diagnosis Algorithm
 • Metabolic: DM, Hypothyroidism, CKD, Cirrhosis, Nutritional deficiency
 •
Causes of Polyneuropathy ... - Differential Diagnosis ... • Toxic: EtOH, Meds ... Mitochondrial issues - VA ... #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
reexposed to light; • Normal ... females Differential Diagnosis ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... • Measurable neurologic ... present, in which case ... #tPA #Stroke #cva ... #management #neurology