19 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
up an ischemic CVA ... a NCCT or • MRI ... brain w/o contrast ... Detected on NCCT vs MRI ... Defined if 1) CT/MRI-confirmed
Circle of Willis and brain circulation 
Herophilus of Chalcedon (335-280 BC), “Father of Anatomy,” described the
of Willis and brain ... the base of the brain ... #neuroanaromy #cva ... #baseofbrain #brain
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
and Management Algorithm ... speech • Time is brain ... Stroke #Management #Algorithm ... differential #neurology #CVA
Restarting Anticoagulation after TIA or Acute Ischemic Stroke

 • TIA → Consider (re-) starting a NOAC
transformation by brain ... CT or MRI within ... transformation by brain ... CT or MRI within ... #TIA #Stroke #CVA
Cerebral Venous Thrombosis (CVT) - Management Algorithm
Prognostic score for CVT:
Variables: Malignancy 2, Coma 2, Deep venous
Venous Thrombosis (CVT ... ) - Management Algorithm ... Prognostic score for CVT ... -2019-002415 #CVT ... Thrombosis #Management #Algorithm
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 • Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Differential Diagnosis Algorithm ... AVM, Aneurysm, Brain ... SCVMCMed #Stroke #CVA ... Differential #Diagnosis #Algorithm
Recurrent / Breakthrough DVT During Anticoagulation

Subtherapeutic Anticoagulation
Hypercoagulable State 
 - Antithrombin deficiency 
 - Hypercoagulability ot
/ Breakthrough DVT ... Hypercoagulability ot Ca ... Breakthrough #Recurrent #DVT ... #differential #algorithm
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Syndrome Testing Algorithm ... suppression test (DST ... Adrenocorticotropic Hormone • MRI ... Syndrome #diagnosis #algorithm
Timeline for Progression of T2WI and DWI Findings in Acute Stroke
 - In the acute phase
- DWI in brain ... #Stroke #CVA #MRI
Electrolyte Repletion
Potassium 
  - ref range 3.5-4.5
  - if acute MI, cardiac conditions >4.5
- if acute MI ... conditions >4.5 if VT ... conditions >2.5 for VT ... unless corrected Ca