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Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Bell's Palsy - Diagnosis ... Nerve (CN7) Palsy ... Imaging (if atypical symptoms ... inflammatory cause ... #Palsy #Diagnosis
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
PalsyCN IV ... palsyCN VI ... One-and-a-half Syndrome ... ophthalmology #neurology #differential ... #diagnosis #ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • CN VI palsy ... Ill palsy ... • Neurologic symptoms ... IV - Eye cannot
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
HIV / AIDS - Differential ... Demyelinating disease caused ... hearing loss, palsy ... of the abducens nerve ... #differential #
BEE Syndromes - Non-inflammatory Causes

Immune-mediated conditions affecting the Brain, Eye, and Ear

Visual or auditory symptoms in
Non-inflammatory Causes ... nervous system (CNS ... pachymeningitis • HIV ... noninflammatory #differential ... #diagnosis
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
tissue: Epithelioid cells ... are not caused ... anterior/posterior MSK ... iridocyclitis) and facial ... palsy.
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
spinal cord and nerve ... (IRIS): • In HIV ... • Caused by immune ... #Tuberculosis #diagnosis ... #differential #
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
compression of nerve ... spine L1-L5 Symptoms ... Diagnosis: • ... cord infarct • HIV ... diagnosis #causes
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Diagnosis Framework ... (CN 8) ... cause unknown) ... II ○ Susac’s syndrome ... zoster virus ○ HIV
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... pupil with third nerve ... palsy - Tentorial ... #clues #differential ... #diagnosis