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diagnosis neurology rheumatology dissection vasculitis algorithm arteritis criticalcare cva encephalopathy giantcell ischemic myelitis polychondritis posterior pres relapsing reversible signs stroke
Aortic Dissection - Diagnosis and Management Summary • HPI: sudden onset, "tearing" chest pain, radiation to
Aortic Dissection ... concurrent stroke-like symptoms ... Factors: Male, yo ... Dissection protocol • Classification ... includes ascending aorta
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... the wall of the aorta ... Pulse deficit/differential ... deficit • Shock ... Dissection #diagnosis #management
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... dissection of ascending aorta ... #Classification ... types #diagnosis #management ... #criticalcare #differential
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... very remarkable w/differential ... E.g. 80 yo ESR cutoff ... Temporal #Signs #Symptoms ... #Diagnosis #Management
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tract, and often causes ... < 30 years - Aorta ... and branches • GCA ... : - Aorta and ... #rheumatology #classification
Causes of Ischemic Stroke - Differential Diagnosis Algorithm Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia - Large
Causes of Ischemic ... Stroke - Differential ... - Ascending Aorta ... effusion • Shock ... #Stroke #CVA #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Infection/Sepsis/Shock ... Neurological symptoms ... Reversible course Differential ... Syndrome #diagnosis #management ... #neurology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Presentation: Systemic Symptoms ... < 30 years • Aorta ... Arteritis): • Aorta ... • Progressive symptoms ... tract, and often causes
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Bilateral signs and/or symptoms ... • Infectious causes ... for brain and/or optic ... Myelitis #diagnosis #management ... #neurology #differential
Relapsing Polychondritis What is it? Recurrent inflammation of the cartilage in the body (Autoimmune disorder) Who? • Most frequently: 40
ethnicities Symptoms ... + Nonspecific symptoms ... Large vessels (aorta ... Loss of vision • Aortic ... rheumatology #diagnosis #management
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