14 results
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
- Differential Diagnosis ... vasoconstriction syndrome ... Encephalitis, Brain Abscess ... Neurocysticercosis, PML ... Algorithm #Causes #neurology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... thirst, Lack of access ... , Cushing syndrome ... #nephrology #sodium
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... Assess volume status ... • nephrotic syndrome ... #Nephrology
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
• S - Saddle anesthesia ... Differential Diagnosis ... Spinal infection/abscess ... #differential #diagnosis ... #causes #neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Reflexes: • Knee ... • Cauda Equina Syndrome ... saddle (perineal) anesthesia ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Chorioretinitis • Diagnosis ... - Compatible syndrome ... toxo IgG • CNS PCR ... Syphilis • Pyogenic Abscess ... causes #radiology #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... Spinal stenosis - Abscess ... loss - Saddle anesthesia ... #differential #diagnosis ... #neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... Infectious: Brain abscess ... dystrophies Work ... #Differential #Diagnosis ... #neurology
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome ... Workup Blood Work ... Fractional excretion of Cl ... #Diagnosis #Workup ... #nephrology
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Spot PC (protein ... LDH - Assess for ... glomerular #testing #workup ... #diagnosis #glomerulonephritis ... nephrotic #nephritic #nephrology