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diagnosis differential management physicalexam video anticoagulation asterixis causes checklist cord disorders dystonia dystonic evolution findings generalized hand hands hearing interpretation
Stroke Evaluation and Management Algorithm Clinical suspicion of stroke (BE FAST) • Balance loss • Eyes: vision
Stroke Evaluation ... Clinical suspicion ... asymmetry • Arm weakness ... #differential #neurology ... #CVA
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
up an ischemic CVA ... A) Initial Evaluation ... angiography • +/- Vit B12 ... #stroke #workup ... diagnosis #checklist #neurology
Clinical Features and Vascular Territories of Stroke Anterior circulation—anterior cerebral artery (ACA) - Contralateral leg weakness Anterior circulation—middle
Clinical Features ... Territories of Stroke ... Contralateral leg weakness ... #CVA #Diagnosis ... #Neurology
Restarting Anticoagulation after TIA or Acute Ischemic Stroke • TIA → Consider (re-) starting a NOAC
Acute Ischemic Stroke ... neurological deficit → No clinical ... worsening or clinical ... starting a NOAC ≥ 12 ... #CVA #neurology
Evolution of MRI Findings in Stroke MR images at five subsequent time points in a 67-year-old woman
Findings in Stroke ... with left hand weakness ... #Progression #Stroke ... #CVA #Clinical ... Interpretation #Findings #Neurology
Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
Generalized Weakness ... : CKD, ESRD • CV ... Rhabdomyolysis, Critical ... • Neuro: UMN (stroke ... Diagnosis #causes #neurology
Unilateral Asterixis on Neurological Examination This patient presented for 3 days of sudden repetitive left hand weakness/dropping
repetitive left hand weakness ... Caused by Stroke ... (CVA) - The classic ... Unilateral #Asterixis #clinical ... #video #neurology
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 Acute Dystonic Tremor after CVA Acute dystonic tremor is an exceedingly rare manifestation of a stroke. This
Dystonic Tremor after CVA ... manifestation of a stroke ... mild right hand weakness ... Dystonic #Tremor #clinical ... #physicalexam #neurology
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 Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
neurological lesion: Clinical ... /paralysis - Weakness ... myelopathy - Vit B12 ... disorders #diagnosis #neurology ... differential #algorithm
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
The evaluation should ... include a: • Neurologic ... Diabetes mellitus • Stroke ... acoustic neuroma) and stroke ... trauma ○ MS, CVA
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