10 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Carotid U/S, EEG, Brain ... MRI, Cardiac stress ... Syncope #diagnosis #workup ... Effectiveness #table
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... a NCCT or • MRI ... brain w/o contrast ... Detected on NCCT vs MRI ... #CVA #stroke #workup
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
heart valves • MRI ... brain for cerebral ... often seen • MRI ... brain for cerebral ... Marantic #diagnosis #table
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Doppler ultrasound; MRA ... CT or MRI scan of ... Causes #Screening #Workup ... #table
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
nervous system: Brain ... • Infectious: Brain ... dystrophies Work ... EMG) studies • MRI
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Cost-Effectiveness Workup ... Carotid US • Brain ... MRI • EEG • Cardiac ... Syncope #diagnosis #workup
Balamuthia vs Acanthamoeba vs Naegleria - Comparison
Exposure - Host - CNS disease - CNS spread -
Ameba in CSF - Brain ... MRI - Pathology ... Naegleria #Comparison #Table
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
exercise, after acute MI ... to 6-8 hours to work ... treatment #comparison #table
Acquired Downbeat Nystagmus

This 62 yo AA female reported to clinic for retinal evaluation of diabetic PDR.
nystagmus, but further workup ... An MRI of the brain ... A follow up MRI
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
meningitis on T2 MRI ... bubble sign on mri ... of diagnosis to normalize ... meningitis #T2 #MRI ... #Brain #clinical