Ischemic stroke differential diagnosis: Difference between revisions

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Revision as of 20:55, 8 November 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S [2]

Overview

Differential Diagnosis

Neurosyphilis can present with strokes and must be differentiated from other causes.^[1]

Presents as weakness, sensory loss, gait abnormality and cranial nerve damage.

Diseases	Laboratory Findings				Physical Examination				History and Symptoms				Other Findings
Diseases	Lab Test 1	Lab Test 2	Lab Test 3	Lab Test 4	Physical Finding 1	Physical Finding 2	Physical Finding 3	Physical Finding 4	Finding 1	Finding 2	Finding 3	Finding 4	Other Findings
Brain tumour					Decreased muscle strength	Sensory loss			Headache	Motor weakness	Seizures
Hemorrhagic stroke									Headache	Motor weakness	History of hypertension
Subdural hemorrhage									Severe headache	Loss of consciousness	Vomiting	Muscle weakness
Neurosyphilis	CSF changes		+						Headache	Muscle weakness	Sensory disturbances	cranial nerve involvement	History of STIs
Complex or atypical migraine	↑								Unilateral headache	Aura causing visual and speech difficulties			Family history of migraine
Conversion disorder		↓							Sudden loss of motor strength	Loss of sensation or abnormal sensations	Behavioural abnormalities
Electrolyte disturbance									Confusion	Lack of orientation	Seizures
Intracranial neoplasm
Meningitis or encephalitis									Fever	Neck stiffness	loss of consciousness	Cranial nerve damage	Lack of
Multiple sclerosis exacerbation									Pre	Visual changes	Muscle weakness		Relapsing and remitting course
Seizure
Hypoglycemia or hyperglycemia

References

↑ Berger JR, Dean D (2014). "Neurosyphilis". Handb Clin Neurol. 121: 1461–72. doi:10.1016/B978-0-7020-4088-7.00098-5. PMID 24365430.

Template:WikiDoc Sources

[pmid24365430-1] Berger JR, Dean D (2014). "Neurosyphilis". Handb Clin Neurol. 121: 1461–72. doi:10.1016/B978-0-7020-4088-7.00098-5. PMID 24365430.

[1]

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+|style="background: #F5F5F5; padding: 5px;" |Decreased muscle strength
+|style="background: #F5F5F5; padding: 5px;" |Sensory loss
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Headache
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Motor weakness
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Seizures
-|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |
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 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Headache
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Motor weakness
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |History of hypertension
 |style="background: #F5F5F5; padding: 5px;" |
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 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Severe headache
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Loss of consciousness
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Vomiting
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Muscle weakness
 |style="background: #F5F5F5; padding: 5px;" |
 |-
 |style="background: #DCDCDC; padding: 5px; text-align: center;" |Neurosyphilis
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |CSF
+changes
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
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 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |✔
+|style="background: #F5F5F5; padding: 5px;" |Headache
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Muscle weakness
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Sensory disturbances
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |cranial nerve involvement
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |History of STIs
 |-
 |style="background: #DCDCDC; padding: 5px; text-align: center;" |Complex or atypical migraine
@@ Line 97: / Line 99: @@
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Unilateral headache
-|style="background: #F5F5F5; padding: 5px;" |✘
+|style="background: #F5F5F5; padding: 5px;" |Aura causing visual and speech difficulties
-|style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Family history of migraine
 |-
 |style="background: #DCDCDC; padding: 5px; text-align: center;" |Conversion disorder
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 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Sudden loss of motor strength
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Loss of sensation or abnormal sensations
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Behavioural
+abnormalities
 |style="background: #F5F5F5; padding: 5px;" |
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 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Confusion
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Lack of orientation
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Seizures
 |style="background: #F5F5F5; padding: 5px;" |
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 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Fever
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Neck stiffness
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |loss of consciousness
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Cranial nerve damage
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Lack of
 |-
 |style="background: #DCDCDC; padding: 5px; text-align: center;" |Multiple sclerosis exacerbation
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 |style="background: #F5F5F5; padding: 5px;" |
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+|style="background: #F5F5F5; padding: 5px;" |Pre
+|style="background: #F5F5F5; padding: 5px;" |Visual changes
+|style="background: #F5F5F5; padding: 5px;" |Muscle weakness
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Relapsing and remitting course
-|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |
 |-
 |style="background: #DCDCDC; padding: 5px; text-align: center;" |Seizure

Ischemic stroke differential diagnosis: Difference between revisions

Revision as of 20:55, 8 November 2016

Overview

Differential Diagnosis

References

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