Stroke Infarction: Thrombolysis
IV thrombolysis for stroke improves outcomes when given within 9 hours. Requires rapid imaging, specialist input, and strict eligibility criteria
Category FFS
FFS: Lateral medullary syndrome
Lateral medullary (Wallenberg) syndrome is a rare brainstem stroke due to vertebral or PICA occlusion, presenting with vertigo, dysphagia, and cranial nerve signs.
Stroke Infarction: Basilar Artery
Basilar artery stroke is a severe posterior circulation infarction. Early recognition and timely thrombolysis or clot retrieval are key to improving outcomes.
Stroke Infarction: Posterior Circulation
Posterior circulation stroke: challenging diagnosis with subtle signs. Includes classification, investigation, thrombolysis, and management of basilar infarction.
Stroke: Oxfordshire community stroke project
Summary of OCSP classification of cerebral infarction: clinical patterns, vascular territory, prognosis, and reference CT findings for each subtype.
Stroke Infarction: Anterior Circulation
Guide to anterior circulation stroke: classification, clinical features, imaging, and acute management including thrombolysis and clot retrieval
Pyelonephritis
Pyelonephritis is a common presentation to the Emergency Department. The most important consideration is renal tract imaging to rule out an obstructive cause, which can rapidly lead to severe sepsis.
Tibial nerve lesions
Tibial nerve lesions cause plantarflexion weakness, sensory loss in the sole, and can result from trauma, compartment syndrome, or systemic neuropathy
Renal colic
Renal colic (or nephrolithiasis) is an extremely common presenting problem to the Emergency Department. The immediate priority will be pain relief.
Sciatic nerve lesions
Sciatic nerve lesions cause motor loss below the knee and sensory loss in the foot and leg. Most commonly injured in the buttock, often from trauma or injection.
Obturator nerve lesions
Obturator nerve lesions cause impaired thigh adduction and medial thigh sensory loss, most often from pelvic trauma, compression, or compartment syndrome.
Femoral nerve lesions
Femoral nerve injury causes leg extension weakness, impaired hip flexion, and sensory loss over the anterior thigh and medial leg. Often traumatic in origin