INPATIENT STROKE WORKUP
Pt 3: Cardioembolic strokes

In a cardioembolic stroke, a blood clot starts in or passes through the heart but ends up in the brain. It’s managed differently than the other two types we’ve covered. Let’s jump in!
#neurotwitter #neurology #MedEd #FOAMed

INPATIENT STROKE WORKUP
Part 2: Small Vessel Disease (SVD)

If there’s large artery disease, then you know there must be a small vessel disease! The vessels may be small, but the deficits are not. Neither are they rare: they account for about 25% of ischemic strokes.
#neurology #stroke #FOAMed

INPATIENT STROKE WORKUP
Part 1: Large Artery Atherosclerosis

I’m starting a new July series to refresh attendings, jumpstart neurology residents, and teach students.

First, we will tackle a huge topic: inpatient ischemic stroke workup.

#neurology #stroke #FOAMed #neuro #MedSchool #medstudent

What is Romberg’s sign and how should it be used?

I often see this sign misused to suggest a cerebellar ataxia. But it’s the exact opposite - the test exists to point AWAY from central cause!

Explanation below ⬇️

#neurology #neuro #neurosky #FOAMed #medschool #MedEd

PSA: don't withhold a QT prolonging drug just because the computer calculated a QTc above 450-460 ms. The computer correction is usually (>50% by the study below) very inaccurate. And it only takes 15 seconds to do it right (or at least better).

PMID: 27317349

🧵⬇️

#MedEd #medicine #EKG #FOAMed

Brainstem anatomy is notoriously tricky, but it’s made 10x easier by the Rule of 4s! Whether you are a medical student or studying for neurology boards, this powerful mnemonic will take you far!

Original credit for the Rule of 4s goes to Peter Gates.