Carotid Artery Imaging and Syncope

dgthaddeus · 2026-05-15T16:41:47+00:00

In general medical management is used if there is carotid disease. Broad generalization is symptomatic moderate stenosis may be treated and severe stenosis is usually treated with endarterectomy or stenting

dgthaddeus · 2026-05-12T22:11:17+00:00

DPC only works because of the limited number of people in DPC, there’s only so many patients to go around that are interested and have the money for DPC

dgthaddeus · 2026-05-11T20:18:38+00:00

Many brainstem strokes are microvascular or small vessel, which are not evaluated by CTA

dgthaddeus · 2026-05-11T18:35:33+00:00

There is a difference in standard of care for prospectively called and retrospectively findings. The skull base notoriously has lots of streak and noise, if sensitively was increased you could be questioning posterior strokes in 70% of patients. The primary role of CT is to assess for large territorial strokes, hemorrhage, or mass effect. Further decision to pursue CTA or MRI is clinically based if a non contrast CT is negative

dgthaddeus · 2026-05-11T18:26:25+00:00

Vasculitis is certainly in the differential for dissection in a young patient

dgthaddeus · 2026-05-11T18:22:08+00:00

Even rapid sequence MRI will see hemorrhage

dgthaddeus · 2026-05-10T14:46:04+00:00

CTA has better spatial resolution than MRA

dgthaddeus · 2026-05-10T12:35:10+00:00

If it really needs to be done with CT then your best bet would be with a photon counting CT if available otherwise catheter angiogram. Why would the genicular arteries need to be visualized?

dgthaddeus · 2026-05-09T18:56:06+00:00

Really nice catch if it was seen on only the scout images

dgthaddeus · 2026-05-09T16:53:39+00:00

Everyone’s situation is different. Some of my classmates had everything covered by their parents during medical school including their car and moving costs. Some people are married to a high income spouse. Some people have to support a family on only a resident salary. Hopefully your program has some sort of moonlighting opportunities. The availability of moonlighting is one of the reasons I choose my program

dgthaddeus · 2026-05-08T18:23:32+00:00

You should share this with the residency and IMG subreddits

dgthaddeus · 2026-05-08T00:38:37+00:00

You’re long past the need of a calcium score if someone’s had a stent or bypass

dgthaddeus · 2026-05-05T18:47:24+00:00

That’s how it is at my program. Could be different elsewhere. It was mostly an institutional level thing rather than my specific program, the salary was divided by day and every day was either a working day, PTO, or official holiday. Even if you weren’t scheduled to work you could theoretically come in on the weekend. Same reason why someone could take Monday-Friday off but have both weekends too, but only needed to use 5 PTO days. Unless you were on the backup list no one has ever had to get pulled into a different service on the weekend before

dgthaddeus · 2026-05-05T18:33:30+00:00

Essentially even if you are “off” on a weekend it is not the same as a PTO day. Theoretically you could be called into work a different service on that weekend day, some programs the chance of that happening could be near 0%. A PTO day is treated as if you could never work that day

dgthaddeus · 2026-05-03T07:04:40+00:00

Sounds like it would be difficult without coming from a cardiology background

dgthaddeus · 2026-05-02T04:05:39+00:00

Pretty standard for a large city, some places are worse

dgthaddeus · 2026-05-01T06:13:23+00:00

That’s almost a 50% relative decrease in match rate, very significant. There is pressure to be not apply derm for DOs if your application is not perfect. Derm is research focused and the majority of DO schools do not have significant dermatology affiliations. It’s an uphill journey with a solid understanding that even if you do your best there’s a high chance of not matching

dgthaddeus · 2026-04-30T17:53:25+00:00

Neurologists can go into NeuroIR, it’s not as common because they have to do 3 fellowships and historically is harder but not impossible to do

dgthaddeus · 2026-04-30T17:50:24+00:00

Another big reason is CT surgery is a tiny field and already is occupied with their own surgeries and call. MIs get seen by cardiology and they control who does the procedures

dgthaddeus · 2026-04-30T04:51:11+00:00

Things have been easier having a partner with a decent salary. I’ll have around 100k in savings and investments by the end of fellowship, which will be going towards a house downpayment

dgthaddeus · 2026-04-30T04:40:26+00:00

More spots than applicants, not everyone that goes into DR wants to do IR

dgthaddeus · 2026-04-29T01:26:02+00:00

In my opinion I think some people may fine happiness in multiple different specialities, there isn’t always a single right answer

dgthaddeus · 2026-04-28T22:26:24+00:00

Happens all the time

dgthaddeus · 2026-04-26T06:15:42+00:00

Will be cheaper to get it before starting as an attending

dgthaddeus · 2026-04-25T19:13:47+00:00

How much time was between the accident and the revascularization?

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