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Weakness

Inpatient Management Guide Differential Diagnosis Central Nervous System Cord transection (trauma, compression, inflammation) CNS lesion (vascular, inflammatory, compressive) Head injury Vasculitic neuropathy Radiation B12 deficiency Peripheral Neuropathy Diabetic neuropathy Guillan-Barre syndrome (AIDP) CIDP CADP Infectious neuropathy (HIV, lyme, leprosy, WNV) Amyloidosis Hypothyroidism Compressive neuropathy (carpal, tarsal, ulnar, radial) Drug/toxin (EtOH, lead) Vitamin deficiency (B12, folate) … Read more

Vertigo

Inpatient Management Guide Differential Diagnosis Vertigo (illusory sensation of spinning movement) Can be peripheral origin (most common, a/w auditory sx, N/V, and/or nystagmus) vs central origin (imbalance, diplopia, weakness, ataxia) Peripheral Benign paroxysmal positional vertigo (BPPV) — most common cause Labyrinthitis / vestibular neuritis Meniere’s disease Toxicity & Meds (aminoglycoside, loop diuretics, chemo agents, NSAIDs) … Read more

Transient Ischemic Attack

Inpatient Management Guide Definition Ischemic stroke: Acute neurological infarction due to thrombosis, embolism or systemic hypoperfusion Hemorrhagic stroke: Acute intracranial hemorrhage, often intracerebral or subarachnoid, in setting of trauma, hypertension, underlying tumor, cerebrovascular abnormality, or other etiology Transient ischemic attack (TIA): Acute neurologic deficit without evidence of infarction on neuroimaging, classically defined as lasting < … Read more

Tension Headache

Inpatient Management Guide History:  General Considerations Quality, severity, location, duration, time of onset, precipitants/relieving factors Associated symptoms: visual changes, nausea, vomiting, photo/phonophobia, aural sensation Focal neurologic symptoms, h/o head or neck trauma, constitutional symptoms, medication and substance use history Red flag symptoms justifying urgent neuroimaging: worst ever, acute onset, worsening over days, wakes from sleep … Read more

Stroke

Inpatient Management Guide Definition Ischemic stroke: Acute neurological infarction due to thrombosis, embolism or systemic hypoperfusion Hemorrhagic stroke: Acute intracranial hemorrhage, often intracerebral or subarachnoid, in setting of trauma, hypertension, underlying tumor, cerebrovascular abnormality, or other etiology Transient ischemic attack (TIA): Acute neurologic deficit without evidence of infarction on neuroimaging, classically defined as lasting < … Read more

Silent CNS Infarction

Inpatient Management Guide Definition Ischemic stroke: Acute neurological infarction due to thrombosis, embolism or systemic hypoperfusion Hemorrhagic stroke: Acute intracranial hemorrhage, often intracerebral or subarachnoid, in setting of trauma, hypertension, underlying tumor, cerebrovascular abnormality, or other etiology Transient ischemic attack (TIA): Acute neurologic deficit without evidence of infarction on neuroimaging, classically defined as lasting < … Read more

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