Ian Lesser

[Barack Obama @BarackObama]

I wrote out some thoughts on how to make this moment a real turning point to bring about real change––and pulled together some resources to help young activists sustain the momentum by channeling their energy into concrete action. https://t.co/jEczrOeFdv

[Ian Lesser @LesserIan]

Looking for clues in a neuro case, putting them together with neuro anatomy and knowledge of neuro diagnoses makes me feel like an excited Nancy Drew. #Neuropath2020wk13 @juliehershberg

[Ian Lesser @LesserIan]

Astrocytomas vs. Meningiomas. Imaging is key. Clinical signs can be similar. Imaging can reveal where - though a keen neuro exam and knowledge of neuro anatomy can help localize it! #Neuropath2020wk12 @juliehershberg

[Ian Lesser @LesserIan]

When using the child SCAT5 to assess concussion look for red flags: neck pain, double vision, weakness, severe headache, seizure, LOC, deteriorating conciousness, vomiting, restless, agitated or combative. Keep our kids safe!
#Neuropath2020wk11 @juliehershberg @manjiridahdul

[Ian Lesser @LesserIan]

If a headaches got some SNOOP signs
Refer it like it’s hot
Refer it like it’s hot
Refer it like it’s hot
If a headache has no red flags
Treat it like it’s hot
Treat it like it’s hot
Treat it like it’s hot
#Neuropath2020wk10 @juliehershberg

[Ian Lesser @LesserIan]

In diagnosing stroke trace the blood supply:
UE greater than LE: MCA
LE greater than UE: ACA
Face and body contralateral: brainstem
Adding to brainstem - use CN to help localize
#Neuropath2020wk9 @juliehershberg

[Ian Lesser @LesserIan]

🦶toe walking? Let’s 🔎
- Before the age of 2️⃣ with typical motor: 🎓and 👁
- With lack of social involvement: 🤲 and 👩‍⚕️
- With UMN 🧠 signs: 🤲 and 👩‍⚕️

#Neuropath2020wk8 @juliehershberg @bmendonca_usc

[Ian Lesser @LesserIan]

The keys to diagnosing MS?

DIS - Damage in at least two different areas

DIT - Damage at two different times at least one month apart

Rule out many other diagnoses

#Neuropath2020wk7 @juliehershberg

[Ian Lesser @LesserIan]

For my birthday I asked for a computer, a big giant barbie house, a trophy case and an xbox 360. My professors decided to only give me an Atrophy case, a Multiple Systems Atrophy case. #Neuropath2020wk6 @juliehershberg @NoraDarak

[Ian Lesser @LesserIan]

Head Impulse Test is a great way to identify vestibular hypofunction. If unable to stabilize gaze when a quick right shift to the head is applied then the vestibular system on the right side is impaired. #Neuropath2020wk5 @juliehershberg @NoraDarak

[Ian Lesser @LesserIan]

When you answer outloud in class that you are not concerned about autonomic dysreflexia for a patient that has a complete T7 SCI and your teacher looks at you and says “Really, no concern!” You are like...
#Neuropath2020wk4 @manjiridahdul @juliehershberg

[Ian Lesser @LesserIan]

Pt. Presented with Bilateral weakness and eventually sensory loss. After nerve conduction study showing slower than normal conduction and a lumbar puncture showing elevated proteins - CIPD was implicated. Rare case because CN 3 & 6 also involved. #Neuropath2020wk3 @juliehershberg

[Ian Lesser @LesserIan]

Working understanding of medical tests + how to use them to rule up or down diagnoses is as important as being able to collect patient signs/symptoms. Using the two together can lead to a correct diagnosis. Today we identified Myasthenia Gravis. #NeuroPath2020wk2 @juliehershberg

[Ian Lesser @LesserIan]

Timeline and temporal course can help differentiate between CIDP and GBS. Pay attention to tests and responses to treatment that don’t fit diagnosis. #Neuropath2020wk1 @juliehershberg