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diagnosis cardiac cardiology classification comparison dementia differential event geriatrics heart holter localization management mncd monitors myotomes neurology selection spinalcord subtypes
Myotomes of the Spinal Cord Each segmental nerve root innervates more than one muscle. For simplicity, certain
Myotomes of the Spinal Cord Each segmental nerve root innervates more than one muscle. For simplicity, certain muscles or muscle groups are identified as representing a single spinal nerve root. External anal sphincter tone should also be assessed by digital examination. Note that the spinal cord ends at Ll (below this is the cauda equina). The cauda equina is more resilient to injury than the spinal cord. #Myotomes #SpinalCord #Diagnosis #Neurology #Localization
Cardiac Event Monitors - Heart Monitor Comparison - Holter - 24-48 hrs
Cardiac Event Monitors - Heart Monitor Comparison - Holter - 24-48 hrs • Continuous monitoring - Event Monitor- 3-30 days • Patient Triggered, Auto Triggered - Mobile Cardiac Telemetry (MCT) - 3-30 days • Continuous monitoring, Patient Triggered, Auto Triggered - Patch - 14 days • Continuous monitoring, Patient Triggered, Auto Triggered - Implantable Loop Recorder (ILR) - Up to 3 years • Continuous monitoring, Auto Triggered - Commercial • Patient Triggered - BWH Medicine Chiefs @BrighamChiefs #Event #Monitors #Comparison #cardiac #cardiology #holter #cardiology #management #selection #heart
Major neurocognitive disorders (MNCD): Diagnosis and workup 1) Clinical diagnosis Cognitive impairment + loss of autonomy 2)
Major neurocognitive disorders (MNCD): Diagnosis and workup 1) Clinical diagnosis Cognitive impairment + loss of autonomy 2) Rule out treatable conditions (1.5%) : tumors, hematoma, hydrocephalus, HIV, syphilis, Whipple, vitamin deficiency, ... laboratory tests + imaging 3) Perform the diagnostic workup What type of MNCD ? MRI, iADL scale, MMSE, neuropsychological assessment Alzheimer - 1st cause after 65 years - Progressive amnesia and impaired executive functions - Aphaso-apraxo-agnosia syndrome - Hippocampal atrophy Lewy body dementia - Visual hallucinations - Movement disorders (parkinsonian signs) - Behavioral changes, sleep difficulties - Fluctuating cognition (attention and altertness) Frontotemporal dementia - Behavioral changes (disinhibition, compulsive behavior, hyperorality, - 25% genetic component - Frontal atrophy Vascular Dementia - 2nd cause after 65 yrs - Subacute onset with step-wise decline > progressive - Loss of bladder control - Unique or multiple ischemic stroke - Amyloid angiopathy By Dr. Amandine Dessertennes via Dr. Benjamin Terrier @TerrierBen #MNCD #Dementia #Differential #Subtypes #Classification #Workup #Diagnosis #Geriatrics #Workup
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