26 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
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
anterior wall MI ... period without chest ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential ... Diagnosis #Causes #cardiology ... #MRI
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
complaining of chest ... pain ECG: non ... specific TWI in chest ... leads Cardiac MRI ... Echocardiogram #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... intolerance • Chest ... gallop • Abnormal ECG ... Diagnosis #Management #Cardiology
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
Evolution of MRI ... it possible to differentiate ... #Evolution #MRI ... CVA #Clinical #Radiology ... Interpretation #Findings #Neurology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Compatible syndrome + MRI ... Lesions #Brain #differential ... diagnosis #causes #radiology ... #neurology
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
Pons: ODS #MRI ... Disorders #Clinical #Differential ... #Diagnosis #Radiology ... #Neurology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Hypertension - Chest ... • Trauma - Neurologic ... ChestPain #Noncardiac #Cardiology ... #Differential #