133 results
Syncope - Cerebral hypoperfusion leading to transient lsos of consciousness causing alck of postural tone with
Syncope - Cerebral ... cause (8-20%) ... • Unclear cause ... (17-37%) Non-Syncope ... vertebrobasilar TIA
Syncope - Differential Diagnosis
The percentage of syncopal events secondary to arrhythmias or structural disease is generally
Syncope - Differential ... percentage of syncopal ... Others Non-syncopal ... Psychogenic • TIA ... differential #diagnosis #causes
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
from other causes ... Common causes of ... syncope and their ... #Causes #Differential ... #Algorithm #Ddxof
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
Indications for tPA ... to intravenous tPA ... present, in which case ... Contraindications to tPA ... #Indications #tPA
Blood Pressure Management for Neurologic Emergencies
 - SAH 
 - ICH 
 - TBI 
 -
TBI - Ischemic Stroke ... (no TPA) - Ischemic ... Stroke + TPA By ... #Targets #CVA #Stroke
Syncope in 3 Steps
1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA)
2. Heart vs
Syncope in 3 Steps ... Seizure, low Sugar, Stroke ... (TIA) 2. ... amyloidosis and other #Syncope
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... Diuretics) • TIA ... Tachy-Brady Syndrome #Syncope ... #causes
Hypertensive Emergency and Hypertensive Crisis - Blood Pressure Targets
 • Hypertensive Emergency
 • Ischemic Stroke (w/
Emergency • Ischemic Stroke ... (w/ tPA, w/o tPA ... • Hemorrhagic Stroke
Blood pressure management in acute ischemic stroke - Timeline
Candidate for tPA:
 - Goal SBP <185 AND
acute ischemic stroke ... Candidate for tPA ... Candidate for tPA ... Hypertension #CVA #Stroke
Ischemic Stroke - Blood Pressure Management
 • No tPA  < 220 / 120 (permissive hypertension)
Ischemic Stroke ... Management • No tPA ... hypertension) • tPA ... SCVMCMed #Ischemic #Stroke