Ischemic stroke differential diagnosis: Difference between revisions

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VisualWikitext

Revision as of 15:58, 9 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

Diseases

Diagnostic tests

Physical Examination

Symptoms

Past medical history

Other Findings

Na+, K+, Ca2+

CT /MRI

CSF Findings

Gold standard test

Motor Deficit

Sensory deficit

Speech or gait?

Cranial

nerves

Headache

LOC

Motor weakness

Abnormal sensations

Brain tumour^[1]

✔

Cancer cells</ref>

MRI

✔

Cachexia

Hemorrhagic stroke

✔

xanthochromia</ref>

CT scan without contrast</ref></ref>

✔

Hypertension

Subdural hemorrhage

✔

CT scan without contrast^[2]

✔

Trauma/fall

Neurosyphilis^[3]^[4]

✔

Leukocytes and protein

CSF VDRL-specifc

CSF FTA-Ab -sensitive^[5]

✔

STIs

Complex or atypical migraine

Clinical assesment

✔

Family history of migraine

Conversion disorder

↓

Diagnosis of exclusion??

✔

Electrolyte disturbance

Intracranial neoplasm

Meningitis or encephalitis

CSF analysis</ref>

✔

Fever, Neck

rigidity

Multiple sclerosis exacerbation

✔

Clinical assesment and MRI </ref>

✔

History of relapses and remissions

Seizure

Clinical assesment and EEG ^[6]

✔

History of similar episodes in the past

Hypoglycemia or hyperglycemia

↑ or

↓

HbA1c

✔

History of diabetes

Palpitations, sweating

References

↑ Morgenstern LB, Frankowski RF (1999). "Brain tumor masquerading as stroke". J Neurooncol. 44 (1): 47–52. PMID 10582668.
↑
↑ Liu LL, Zheng WH, Tong ML, Liu GL, Zhang HL, Fu ZG; et al. (2012). "Ischemic stroke as a primary symptom of neurosyphilis among HIV-negative emergency patients". J Neurol Sci. 317 (1–2): 35–9. doi:10.1016/j.jns.2012.03.003. PMID 22482824.
↑ Berger JR, Dean D (2014). "Neurosyphilis". Handb Clin Neurol. 121: 1461–72. doi:10.1016/B978-0-7020-4088-7.00098-5. PMID 24365430.
↑ Ho EL, Marra CM (2012). "Treponemal tests for neurosyphilis--less accurate than what we thought?". Sex Transm Dis. 39 (4): 298–9. doi:10.1097/OLQ.0b013e31824ee574. PMC 3746559. PMID 22421697.
↑ Manford M (2001). "Assessment and investigation of possible epileptic seizures". J Neurol Neurosurg Psychiatry. 70 Suppl 2: II3–8. PMC 1765557. PMID 11385043.

Template:WikiDoc Sources

[pmid10582668-1] Morgenstern LB, Frankowski RF (1999). "Brain tumor masquerading as stroke". J Neurooncol. 44 (1): 47–52. PMID 10582668.

[:1-2] ↑

[pmid22482824-3] Liu LL, Zheng WH, Tong ML, Liu GL, Zhang HL, Fu ZG; et al. (2012). "Ischemic stroke as a primary symptom of neurosyphilis among HIV-negative emergency patients". J Neurol Sci. 317 (1–2): 35–9. doi:10.1016/j.jns.2012.03.003. PMID 22482824.

[pmid24365430-4] Berger JR, Dean D (2014). "Neurosyphilis". Handb Clin Neurol. 121: 1461–72. doi:10.1016/B978-0-7020-4088-7.00098-5. PMID 24365430.

[pmid22421697-5] Ho EL, Marra CM (2012). "Treponemal tests for neurosyphilis--less accurate than what we thought?". Sex Transm Dis. 39 (4): 298–9. doi:10.1097/OLQ.0b013e31824ee574. PMC 3746559. PMID 22421697.

[pmid11385043-6] Manford M (2001). "Assessment and investigation of possible epileptic seizures". J Neurol Neurosurg Psychiatry. 70 Suppl 2: II3–8. PMC 1765557. PMID 11385043.

[1]

[2]

[3]

[4]

[5]

[6]

@@ Line 32: / Line 32: @@
 |style="background: #DCDCDC; padding: 5px; text-align: center;" | Brain tumour<ref name="pmid10582668">{{cite journal| author=Morgenstern LB, Frankowski RF| title=Brain tumor masquerading as stroke. | journal=J Neurooncol | year= 1999 | volume= 44 | issue= 1 | pages= 47-52 | pmid=10582668 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10582668  }} </ref>
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Cancer cells<ref><ref name="pmid21371327">{{cite journal| author=Weston CL, Glantz MJ, Connor JR| title=Detection of cancer cells in the cerebrospinal fluid: current methods and future directions. | journal=Fluids Barriers CNS | year= 2011 | volume= 8 | issue= 1 | pages= 14 | pmid=21371327 | doi=10.1186/2045-8118-8-14 | pmc=3059292 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21371327  }}</ref></ref>
 |style="background: #F5F5F5; padding: 5px;" |MRI
-|style="background: #F5F5F5; padding: 5px;" |      <nowiki>+</nowiki>
+| style="background: #F5F5F5; padding: 5px;" |      ✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |      <nowiki>+</nowiki>
+| style="background: #F5F5F5; padding: 5px;" |      ✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Cahexia
+|style="background: #F5F5F5; padding: 5px;" |[[Cachexia]]
 |-
 |style="background: #DCDCDC; padding: 5px; text-align: center;" |Hemorrhagic stroke
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |xanthochromia<ref><ref name="pmid1198628">{{cite journal| author=Lee MC, Heaney LM, Jacobson RL, Klassen AC| title=Cerebrospinal fluid in cerebral hemorrhage and infarction. | journal=Stroke | year= 1975 | volume= 6 | issue= 6 | pages= 638-41 | pmid=1198628 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1198628  }}</ref></ref>
 |style="background: #F5F5F5; padding: 5px;" |CT scan  without contrast<ref name=":0"><ref name="pmid21694755">{{cite journal| author=Birenbaum D, Bancroft LW, Felsberg GJ| title=Imaging in acute stroke. | journal=West J Emerg Med | year= 2011 | volume= 12 | issue= 1 | pages= 67-76 | pmid=21694755 | doi= | pmc=3088377 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21694755  }}</ref></ref><ref name=":1"><ref name="pmid21807345">{{cite journal| author=DeLaPaz RL, Wippold FJ, Cornelius RS, Amin-Hanjani S, Angtuaco EJ, Broderick DF et al.| title=ACR Appropriateness Criteria® on cerebrovascular disease. | journal=J Am Coll Radiol | year= 2011 | volume= 8 | issue= 8 | pages= 532-8 | pmid=21807345 | doi=10.1016/j.jacr.2011.05.010 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21807345  }}</ref></ref>
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |      <nowiki>+</nowiki>
+| style="background: #F5F5F5; padding: 5px;" |      ✔
-|style="background: #F5F5F5; padding: 5px;" | <nowiki>+</nowiki>
+| style="background: #F5F5F5; padding: 5px;" | ✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Hypertension+
+|style="background: #F5F5F5; padding: 5px;" |[[Hypertension]]
 |style="background: #F5F5F5; padding: 5px;" |
 |-
 |style="background: #DCDCDC; padding: 5px; text-align: center;" | Subdural hemorrhage
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |CT scan  without contrast<ref name=":1" />
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |     <nowiki>+</nowiki>
+| style="background: #F5F5F5; padding: 5px;" |     ✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |Trauma/fall
@@ Line 80: / Line 80: @@
 |style="background: #DCDCDC; padding: 5px; text-align: center;" |Neurosyphilis<ref name="pmid22482824">{{cite journal| author=Liu LL, Zheng WH, Tong ML, Liu GL, Zhang HL, Fu ZG et al.| title=Ischemic stroke as a primary symptom of neurosyphilis among HIV-negative emergency patients. | journal=J Neurol Sci | year= 2012 | volume= 317 | issue= 1-2 | pages= 35-9 | pmid=22482824 | doi=10.1016/j.jns.2012.03.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22482824  }} </ref><ref name="pmid24365430">{{cite journal |vauthors=Berger JR, Dean D |title=Neurosyphilis |journal=Handb Clin Neurol |volume=121 |issue= |pages=1461–72 |year=2014 |pmid=24365430 |doi=10.1016/B978-0-7020-4088-7.00098-5 |url=}}</ref>
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |
+|style="background: #F5F5F5; padding: 5px;" |Leukocytes and protein
-|style="background: #F5F5F5; padding: 5px;" |CSF VDRL-specifc
+|style="background: #F5F5F5; padding: 5px;" |CSF [[VDRL]]-specifc
 CSF FTA-Ab -sensitive<ref name="pmid22421697">{{cite journal| author=Ho EL, Marra CM| title=Treponemal tests for neurosyphilis--less accurate than what we thought? | journal=Sex Transm Dis | year= 2012 | volume= 39 | issue= 4 | pages= 298-9 | pmid=22421697 | doi=10.1097/OLQ.0b013e31824ee574 | pmc=3746559 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22421697  }}</ref>
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |STIs
 |style="background: #F5F5F5; padding: 5px;" |
@@ Line 104: / Line 104: @@
 |style="background: #F5F5F5; padding: 5px;" |
 | style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |Family history of migraine
+|style="background: #F5F5F5; padding: 5px;" |Family history of [[migraine]]
 |style="background: #F5F5F5; padding: 5px;" |
 |-
@@ Line 116: / Line 116: @@
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |Diagnosis of exclusion??
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" | <nowiki>+</nowiki>
+| style="background: #F5F5F5; padding: 5px;" | ✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
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@@ Line 163: / Line 163: @@
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |CSF analysis<ref><ref name="pmid19398286">{{cite journal| author=Carbonnelle E| title=[Laboratory diagnosis of bacterial meningitis: usefulness of various tests for the determination of the etiological agent]. | journal=Med Mal Infect | year= 2009 | volume= 39 | issue= 7-8 | pages= 581-605 | pmid=19398286 | doi=10.1016/j.medmal.2009.02.017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19398286  }}</ref></ref>
+|style="background: #F5F5F5; padding: 5px;" |[[CSF analysis]]<ref><ref name="pmid19398286">{{cite journal| author=Carbonnelle E| title=[Laboratory diagnosis of bacterial meningitis: usefulness of various tests for the determination of the etiological agent]. | journal=Med Mal Infect | year= 2009 | volume= 39 | issue= 7-8 | pages= 581-605 | pmid=19398286 | doi=10.1016/j.medmal.2009.02.017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19398286  }}</ref></ref>
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |   <nowiki>+</nowiki>
+| style="background: #F5F5F5; padding: 5px;" |   ✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Fever, Neck
+|style="background: #F5F5F5; padding: 5px;" |[[Fever]], Neck
 rigidity
@@ Line 179: / Line 179: @@
 |style="background: #DCDCDC; padding: 5px; text-align: center;" |Multiple sclerosis exacerbation
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Clinical assesment and MRI <ref><ref name="pmid8274111">{{cite journal| author=Giang DW, Grow VM, Mooney C, Mushlin AI, Goodman AD, Mattson DH et al.| title=Clinical diagnosis of multiple sclerosis. The impact of magnetic resonance imaging and ancillary testing. Rochester-Toronto Magnetic Resonance Study Group. | journal=Arch Neurol | year= 1994 | volume= 51 | issue= 1 | pages= 61-6 | pmid=8274111 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8274111  }}</ref></ref>
+|style="background: #F5F5F5; padding: 5px;" |Clinical assesment and [[MRI]] <ref><ref name="pmid8274111">{{cite journal| author=Giang DW, Grow VM, Mooney C, Mushlin AI, Goodman AD, Mattson DH et al.| title=Clinical diagnosis of multiple sclerosis. The impact of magnetic resonance imaging and ancillary testing. Rochester-Toronto Magnetic Resonance Study Group. | journal=Arch Neurol | year= 1994 | volume= 51 | issue= 1 | pages= 61-6 | pmid=8274111 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8274111  }}</ref></ref>
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
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-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |History of relapses and remissions
 |style="background: #F5F5F5; padding: 5px;" |
@@ Line 197: / Line 197: @@
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |Clinical assesment and EEG <ref name="pmid11385043">{{cite journal| author=Manford M| title=Assessment and investigation of possible epileptic seizures. | journal=J Neurol Neurosurg Psychiatry | year= 2001 | volume= 70 Suppl 2 | issue=  | pages= II3-8 | pmid=11385043 | doi= | pmc=1765557 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11385043  }}</ref>
+|style="background: #F5F5F5; padding: 5px;" |Clinical assesment and [[EEG]] <ref name="pmid11385043">{{cite journal| author=Manford M| title=Assessment and investigation of possible epileptic seizures. | journal=J Neurol Neurosurg Psychiatry | year= 2001 | volume= 70 Suppl 2 | issue=  | pages= II3-8 | pmid=11385043 | doi= | pmc=1765557 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11385043  }}</ref>
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |  <nowiki>+</nowiki>
+| style="background: #F5F5F5; padding: 5px;" |  ✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |History of similar episodes in the past
 |style="background: #F5F5F5; padding: 5px;" |
@@ Line 211: / Line 211: @@
 |style="background: #DCDCDC; padding: 5px; text-align: center;" |Hypoglycemia or hyperglycemia
 |style="background: #F5F5F5; padding: 5px;" |
+{|
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |
+| style="background: #F5F5F5; padding: 5px;" |'''↑''' or
+| style="background: #F5F5F5; padding: 5px;" |↓
+|}
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |HbA1c
+|style="background: #F5F5F5; padding: 5px;" |[[HbA1c]]
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |  <nowiki>+</nowiki>
+| style="background: #F5F5F5; padding: 5px;" |  ✔
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
 |style="background: #F5F5F5; padding: 5px;" |
-|style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki>
+|style="background: #F5F5F5; padding: 5px;" |✔
-|style="background: #F5F5F5; padding: 5px;" |History of diabetes
+|style="background: #F5F5F5; padding: 5px;" |History of [[Diabetes mellitus|diabetes]]
-|style="background: #F5F5F5; padding: 5px;" |Palpitations, sweating
+|style="background: #F5F5F5; padding: 5px;" |[[Palpitation|Palpitations]], sweating
 |}

Ischemic stroke differential diagnosis: Difference between revisions

Revision as of 15:58, 9 November 2016

Overview

Differential Diagnosis

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