10 results
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
papilledema • Horner syndrome ... lyme • Altered mental ... • Meningeal signs ... lesion • CNS infection ... #neurology #PHANTOMS
Headaches Overview - Primary vs Secondary Headaches

What’s the Core Difference?
 • Primary headache = headache is
aneurysm) • Infection ... Common Secondary Causes ... : • SAH (Thunderclap ... N Neurological signs ... confusion, focal signs
Emergent Causes of Headache and Associated Risk Factors
Carbon monoxide poisoning
 - Breathing in enclosed or confined
Emergent Causes ... of sinus or ear infection ... parasitic or fungal infection ... vasoconstriction syndrome ... #redflags #signs
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
characterized by: • Headache ... status • Headache ... may precede the neurologic ... the underlying cause ... with AEDs until cause
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Enteroviruses (e.g ... Symptoms: • Headache ... Acute meningeal signs ... rigidity) • Altered mental ... differential #diagnosis #neurology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... acute coronary syndrome ... the determined cause ... #treatment #table ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... Medical history ... disease b) CHF ... event, follow ACC algorithm ... one post op Cardiology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Involves large and medium ... systemic sx + signs ... vasculitis vs infection ... claudication, headaches
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... 50 years • New headache ... primary condition MEDIUM ... tract, and often causes ... , recent viral infection
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
silent pulmonary infection ... . meningeal infection ... organism (soap bubble sign ... Nausea & vomiting ... is common 65%. median