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

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
Differential diagnosis ... MD @drcyncity #Differential ... imaging #patterns #MRI ... #Neurology #pathology ... #diseases #radiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
becoming acute anterior ... wall MI — 'widow ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... Focal findings on neurologic ... electrolytes, CXR, ECG ... CSF, thyroid, MRI ... AlteredMentalStatus #Delirium #Management
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
be a cause of anterior ... J-shape." o Usually anterior ... Differential diagnosis ... shoulder #clinical #mri ... #clinical #Radiology
Schematic examples of the cause of acute mitral regurgitation. 
LV, left ventricle; PM, papillary mucle; SAM,
SAM, systolic anterior ... Regurgitation #MR ... Causes #Acute #Differential ... #Cardiology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
• Typically anterior ... anteroapical (anterior ... frequently with anterior ... Infarction #acuteMI #cardiology ... #differential #
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential ... Diagnosis #Causes #cardiology ... #MRI
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... in avL - early inferior ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... Deeply inverted anterior ... #Equivalents #ECG ... #differential # ... cardiology #electrocardiogram