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differential management symptoms rheumatology ophthalmology treatment causes headache infections video algorithm bells central erythematosus infectiousdiseases lupus meningitis palsy parinauds pathophysiology
Clinical Manifestations of Serotonin Syndrome • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements) • Gastrointestinal: Diarrhea,
Ophthalmologic: Mydriasis, Ocular ... Diaphresis, flushing • CNS ... Cardiovascular and vital sign ... Symptoms #spectrum #signs ... #diagnosis
Parinaud's Syndrome What? - Impaired upgaze - Light-near dissociation - Convergence retraction nystagmus - Eyelid retraction (Collier's
retraction (Collier's sign ... → "setting sun sign ... " - Vascular disease ... #diagnosis #pineal ... #neurology
Parinaud's syndrome What? • Light-near dissociation (tectal pupils) • Convergence retraction nystagmus • Eyelid retraction (Collier's sign)
Convergence retraction nystagmus ... retraction (Collier's sign ... "setting sun" sign ... • Vascular disease ... #neurology #diagnosis
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
Optica (NMO) - Clinical ... desaturation, Scotoma, Ocular ... pain • Extra-CNS ... #neurology #symptoms ... #signs
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
skin injury) • Neurologic ... basal ganglia, CNS ... meningitis), MCC CNS ... collaboration • CNS ... #signs #symptoms
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... tinnitus (Méniére's disease ... Central #Vertigo #diagnosis ... #findings #signs ... symptoms #comparison #neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Artery occlusion) Clinical ... Vestibular nucleus (CN ... Trigeminal nucleus (CN ... Nucleus ambiguus (CN ... #diagnosis
Labyrinthitis Vestibular neuritis + unilateral hearing loss = Labyrinthitis 1) Vertigo (severe) 2) Gait instability 3)
hearing loss Clinical ... of vestibular CN ... VIII • Nystagmus ... Labyrinthitis #Diagnosis ... #Symptoms #Signs
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
Facial Nerve (CN7 ... bilateral, non-CN7 ... ophthalmoplegia), systemic signs ... MRI+gad (stroke, CN7 ... sarcoid or other CNS
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
papilledema • Horner syndrome ... • Meningeal signs ... Systemic symptoms and signs ... brain lesion • CNS ... #Algorithm #neurology
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