22 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
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... - PULMONARY EMBOLISM ... - TAKOTSUBO CARDIOMYOPATHY ... - TRAUMATIC BRAIN ... #Diagnosis #Cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
attributable to acute MI ... TTE, TEE, CT or MRI ... risk factors: cardiomyopathy ... #diagnosis #differential ... scoring #criteria #cardiology
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
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
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 ... No major-risk embolic ... diagnosis #checklist #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
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Sister had MI in ... Differential/diagnosis ... POCUS Pulmonary embolism ... #clinical #cardiology
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