16 results
Differential diagnosis for toxic/metabolic encephalopathies - Patterns on Brain Imaging

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
Differential diagnosis ... - Patterns on Brain ... imaging #patterns #MRI ... #Neurology #pathology ... #diseases #radiology
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Takotsubo Cardiomyopathy ... of chest pain ECG ... leads Cardiac MRI ... Ultrasound #Clinical #Echocardiogram ... #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
a NCCT or • MRI ... brain w/o contrast ... Cardioembolic: • ECG ... workup #diagnosis #checklist ... #neurology
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
and Metabolic Brain ... Pons: ODS #MRI ... Disorders #Clinical #Differential ... #Diagnosis #Radiology ... #Neurology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Compatible syndrome + MRI ... RingEnhancing #Lesions #Brain ... #differential # ... diagnosis #causes #radiology ... #neurology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
amphetamines) Toxic: • Radiologic ... Phaeochromocytoma Neurologic ... • Traumatic brain ... #Hyperthermia #Differential ... Anesthesiology #Anesthesia #Checklist
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic Cardiomyopathy ... EKG nonspecific, ... elevated LVEDP ==> MRI ... HCM #clinical #echocardiogram ... #plax #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management Checklist ... Evaluation - EKG ... antiarrhythmics - Ischemic cardiomyopathy ... treatment for acute MI ... #HeartFailure #Cardiology
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
Yamaguchi cardiomyopathy ... on Echocardiogram ... (A4C) ECG has ... Cardiac MR shows ... #Echocardiogram