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diagnosis neurology management stroke clinical endocrinology physicalexam syndrome workup acromegaly cost effectiveness radiology syncope video adrenal als alteredmentalstatus amyotrophic anticoagulation
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
Pronator Drift Testing for Stroke Subtle extensor weakness - Sign of Upper motor neuron lesion In detecting CT/MRI
Pronator Drift Testing ... In detecting CT/MRI ... Pronator #Drift #Testing ... diagnosis #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
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic Testing ... Carotid U/S, EEG, Brain ... MRI, Cardiac stress ... diagnosis #workup #testing
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Cushing Syndrome Testing ... Algorithm INDICATIONS ... FOR TESTING: • ... Adrenocorticotropic Hormone • MRI ... Syndrome #diagnosis #algorithm
Management Algorithm for Confusion - Substrate verification, glucose, oxygen checks - Toxidrome present - Focal findings on neurologic examination -
Management Algorithm ... criteria - ED testing ... CSF, thyroid, MRI ... Delirium #Management #Algorithm
Timeline for Progression of T2WI and DWI Findings in Acute Stroke - In the acute phase
- DWI in brain ... #Stroke #CVA #MRI
Congenital Cytomegalovirus Infection- Ultrasonographic images showed ventricular dilatation in the fetal brain, and T2-weighted magnetic resonance
dilatation in the fetal brain ... the newborn’s brain ... Immunohistochemical testing ... polymerase-chain-reaction testing ... NEJM #radiology #MRI
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Acromegaly Testing ... Algorithm INDICATIONS ... FOR TESTING: • ... hours post GTT) • MRI ... #Algorithm #diagnosis
Syncope Cost-Effectiveness Workup Cost-effective tests for most patients: • Orthostatic BP • ECG • Telemetry (if
Carotid US • Brain ... MRI • EEG • Cardiac ... stress testing ... diagnosis #workup #testing
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