12 results
Nystagmus from Wernicke’s Encephalopathy - Magnetic resonance imaging of the brain showed T2 hyperintensities involving the
from Wernicke’s Encephalopathy ... imaging of the brain ... #Clinical #Radiology ... Neuro #Wernicke #MRI ... #Thalamus #NEJM
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... Unstable/cardiogenic shock ... New/worsening MR ... low (1-2) risk, +ECG ... catheterization #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG ... • Cardiogenic shock ... cardiac death Management ... #Cardiology
Metronidazole-Associated Encephalopathy - A magnetic resonance imaging (MRI) scan of the brain showed a symmetric, enhanced
resonance imaging (MRI ... ) scan of the brain ... B) #Clinical #Radiology ... #Pharm #MRI #Metronidazole ... #Cerebellum #NEJM
Initial assessment and management of coma in pediatric population.

Airway - is it secure? 
Breathing — is
assessment and management ... Circulation - treat shock ... Scale Exposure - e.g ... suggest impending brain ... stem herniation
Cerebral Cavernous Malformations - Magnetic resonance imaging of the brain revealed numerous lesions consistent with cerebral
imaging of the brain ... stem (Panel A shows ... #Clinical #Radiology ... #Neuro #NSG #MRI ... FamilialCerebralCavernousMalformationSyndrome #NEJM
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Posterior Reversible Encephalopathy ... parietal lobes of the brain ... Infection/Sepsis/Shock ... bone marrow or stem ... Syndrome #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... treatment for acute MI ... #HeartFailure #Cardiology ... #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... blood • Hypoxic encephalopathy ... • Traumatic brain ... Checklist #Diagnosis #Management