Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Differential diagnosis for toxic/metabolic encephalopathies - Patterns on Brain Imaging

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
- Patterns on Brain ... encephalopathy #Brain ... imaging #patterns #MRI ... #Neurology #pathology ... #diseases #radiology
CT vs T1 MRI
CT Head:
 - Bones are white
 - Fat is Dark & Scalp fat
CT vs T1 MRI CT ... not apparent T1 MRI ... Brain: - Bones ... #comparison #neurology ... #radiology #brain
MRI Brain Sequence Comparison: T1 vs T2 vs FLAIR
T1:
 - CSF is Dark
 - Grey Matter
MRI Brain Sequence ... T1 #T2 #FLAIR #MRI ... #Brain #Comparison ... #clinical #radiology ... #diagnosis #neurology
Lumbar Neural Foraminal Stenosis Grading 
  - Normal - No fat effacement, Keyhole appearance
Neural Foraminal Stenosis ... Lumbar #Spinal #Stenosis ... Foraminal #Diagnosis #Radiology ... #MSK #MRI
Lumbar Central Canal Stenosis Grading 
  - Normal - No CSF effacement 
  -
Central Canal Stenosis ... Central #Spinal #Stenosis ... Classification #Diagnosis #Radiology ... #MSK #MRI
Lumbar stenosis guide we created to implement consistent radiology reporting across our multi-hospital network. 
Lumbar Central
Lumbar stenosis ... implement consistent radiology ... Central Canal Stenosis ... Foraminal #Diagnosis #Radiology ... #MSK #MRI
Cervical Central Canal and Neural Foraminal Stenosis Grading

Cervical Central Canal Stenosis Grading
 - Normal - No
Neural Foraminal Stenosis ... Central Canal Stenosis ... Neural Foraminal Stenosis ... Classification #Diagnosis #Radiology ... #MSK #MRI
How do you work up an ischemic CVA?
A) Initial Evaluation
 β€’ ABCs
 β€’ IV access, monitor
a NCCT or β€’ MRI ... brain w/o contrast ... Detected on NCCT vs MRI ... vasculature w/o > 50% stenosis ... diagnosis #checklist #neurology
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
and Metabolic Brain ... Pons: ODS #MRI ... Toxicology #Metabolic #Brain ... Differential #Diagnosis #Radiology ... #Neurology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 β€’ Toxoplasmosis (CD4 < 100)
 β€’ Other
Compatible syndrome + MRI ... RingEnhancing #Lesions #Brain ... diagnosis #causes #radiology ... #neurology