NEUROLOGY + NEUROSURGERY
INTRACRANIAL MASS
Prompt
ResponseLarge ring enhancing lesion left frontoparietal hemisphere
Surrounding vasogenic oedema
Mild mass efct
Irregular thick margins
Surrounding vasogenic oedema
Mild mass efct
Irregular thick margins
PromptDifferentials for ring enhancing lesion
ResponsePrimary malignancy (GBM, anaplastic astrocytoma)Fwe
Primary CNS lymptoma/toxoplasmosis/TB
Mets (lung, breast)
Abscess
Subacute cerebral infarct
DDx is MAGIC DR
Mets
Abscess
Glioblastoma
Ischaemia
Contusion
Demyelination
Radiation
Primary CNS lymptoma/toxoplasmosis/TB
Mets (lung, breast)
Abscess
Subacute cerebral infarct
DDx is MAGIC DR
Mets
Abscess
Glioblastoma
Ischaemia
Contusion
Demyelination
Radiation
PromptED management priorities of ring enhancing lesion
ResponseAnalgesia
Steroids - dexamethasone 4-8mg QID
Neurosurgical consultation
Seizure prophylaxis (if appropriate -stem had seizure) - Keppra 20 mg/kg
Social support for pt/family
Steroids - dexamethasone 4-8mg QID
Neurosurgical consultation
Seizure prophylaxis (if appropriate -stem had seizure) - Keppra 20 mg/kg
Social support for pt/family
PromptTHIAMINE DEFICIENCY/WERNICKES/KORSAKOFFS
ResponseProbably worth knowing something here.
PromptHEAD INJURY RULES
ResponseYou WILL NEED TO KNOW THEM, probably more OSCE like assess for need for CT
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Response
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