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

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
Differential diagnosis ... on Brain Imaging ... #imaging #patterns ... #MRI #Neurology ... pathology #diseases #radiology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
brain w/o contrast ... Evaluate underlying cause ... Ruled out other causes ... stroke #workup #diagnosis ... #checklist #neurology
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... - Differential Diagnosis ... • Structural: Tumor ... Hypomagnesemia, Hypocalcemia ... #neurology
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
- Differential Diagnosis ... of breath • Neurologic ... Superior Vena Cava ... EMERGENCIES: Tumor ... #differential #diagnosis
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
Imaging Patterns ... and Metabolic Brain ... Pons: ODS #MRI ... #Differential #Diagnosis ... #Radiology #Neurology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Chorioretinitis • Diagnosis ... Compatible syndrome + MRI ... RingEnhancing #Lesions #Brain ... #causes #radiology ... #neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... tumor • Lesions ... changes - Common pattern ... EMG) studies • MRI ... #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
parietal lobes of the brain ... may precede the neurologic ... Imaging Patterns ... /CTA • Anterior ... #management #neurology
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Enhancement - TM and tumor ... • Infectious causes ... ruled out • Brain ... brain and/or optic ... #management #neurology
Hyponatremia Differential Diagnosis Algorithm in Cancer
UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
appropriate • Hypovolemia ... and neck tumors, brain ... chemotherapy, nausea ... Cancer #algorithm #nephrology ... #oncology