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diagnosis differential algorithm alice clinical encephalitis half headache hearing infections loss manifestations mnemonic neurological one oneandahalf ophthalmology otolaryngology otology phantoms
Alice in Wonderland Syndrome What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in size (micro and ... • CNS: parietal ... lesions (e.g. stroke ... • Epilepsy • Psychiatric ... #diagnosis #neurology
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
papilledema • Horner syndrome ... conditions: • Stroke ... brain lesion • CNS ... infection (e.g., meningitis ... Diagnosis #Algorithm #neurology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework Viral Encephalitis: MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... Acute meningeal signs ... culture or by serology ... a strong indicator ... differential #diagnosis #neurology
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
pulmonary etc) • CNS ... Impairment: • Acute stroke ... Lack of UMN/LMN signs ... aminotransferases • Serology ... Differential #Diagnosis #neurology
Neurological Manifestations of Tuberculosis Spinal Arachnoiditis & Polyradiculopathy: • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
Reconstitution Inflammatory Syndrome ... of Tuberculous Meningitis ... or hemorrhagic stroke ... or abruptly • CN ... differential #TB #neurology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
One and a Half Syndrome ... An APD was noted ... this are tumors, strokes ... #PhysicalExam # ... ophthalmology #neurology
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 Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
include a: • Neurologic ... stroke may affect ... auditory nerve (CN ... ) ○ Meningitis ... II ○ Susac’s syndrome
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose
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