Jul 6, 2019
Contributor: Jared Scott, MD
Educational Pearls:
- Cerebellar strokes make up a disproportionate number of missed or delayed diagnosis for stroke likely due to the subtle nature of the presentation
- Cerebellar strokes can present with vomiting, dizziness, and ataxia.
- Unlike anterior circulation stroke, exam findings in a...
Jun 28, 2019
Contributor: Don Stader, MD
Educational Pearls:
- Antiplatelets include aspirin and clopidogrel, and are generally used for arterial clotting (MI, stroke)
- Anticoagulants such as coumadin, Xarelto, Eliquis are generally used for venous clotting (DVT/PE)
- Growing data suggests that dual antiplatelet therapy...
Apr 15, 2019
Author: Jared Scott, MD
Educational Pearls:
- Modified Rankin Score: measure of disability often used
to qualify outcomes following stroke = no disability, 6=dead,
0-1 indicate good outcome)
- 0-6 Scale
- 0-1 indicative of good outcome
- ASPECT score: uses CT to quantify the extent of changes in the brain due to...
Apr 4, 2019
Author: Sam Killian, MD
Educational Pearls:
- Headache is a common complaint in the ED. It’s plausible that headaches could be correlated with environmental factors
- A 2015 study ED visits for headache found that temperature was associated with an increase visits, while higher humidity led to fewer
- A retrospective...
Feb 13, 2019
Author: Peter Bakes, MD
Educational Pearl:
- Transient ischemic attack (TIA) is defined as neurologic symptoms that resolve in 24 hours with no new changes on head imaging
- Mimics include complex migraine, carotid dissection, seizure (Todd’s paralysis)
- Typical presentation is with sudden onset of negative...