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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How do you work up an ischemic CVA?
A) Initial Evaluation
 β€’ ABCs
 β€’ IV access, monitor
A) Initial Evaluation ... a NCCT or β€’ MRI ... brain w/o contrast ... Detected on NCCT vs MRI ... diagnosis #checklist #neurology
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
Evolution of MRI ... shows the typical evolution ... #Evolution #MRI ... Progression #Stroke #CVA ... #Evolution #Timeline
Evolution of stroke on CT and MRI. 

Day 1: NCHCT demonstrates obscure left insular cortex. No
Evolution of stroke ... on CT and MRI. ... #Stroke #CVA #MRI ... Progression #Timeline #Neurology ... Radiology #Findings #Evolution
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Diagnostic Testing and Evaluation ... Carotid U/S, EEG, Brain ... MRI, Cardiac stress ... Effectiveness #table
Timeline for Progression of T2WI and DWI Findings in Acute Stroke
 - In the acute phase
- DWI in brain ... #Stroke #CVA #MRI ... Progression #Timeline #Neurology ... Radiology #Findings #Evolution
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... patients with Stable ... ischemia -> Coronary CTA ... syndrome (ACS) evaluation ... Diagnosis #Management #Algorithm
Acquired Downbeat Nystagmus

This 62 yo AA female reported to clinic for retinal evaluation of diabetic PDR.
clinic for retinal evaluation ... An MRI of the brain ... A follow up MRI ... #physicalexam #neurology
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