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differential neurology rheumatology lupus ophthalmology signs sle symptoms systemic abducens aids clinical cn6 cnvi comatose compylobacterjejuni examination extremity flaccidpalsy gbs
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... • Transverse myelitis ... pain • Extra-CNS ... Systemic lupus erythematosus ... Manifestations #diagnosis
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
, macular, patchy ... Differential Diagnosis ... and CNS • Headache ... meningitis • Cranial ... • Transverse Myelitis
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Polyneuropathy, Cranial ... Glomerulonephritis Myositis ... SLE #systemic #erythematosus ... signs #symptoms #diagnosis
Cranial Myokymia Paroxysmal episodes of left facial (Orbicularis oculi) and left abducens spasms after remote radiation to
Cranial Myokymia ... facial (Orbicularis oculi ... @bobvarkey #Cranial ... video #neurology #physicalexam ... #CNVI #CN6 #Abducens
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 Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
- Differential Diagnosis ... three clinical diagnoses ... CN III palsy 2. ... neuromuscular junction, cranial ... #Differential #Diagnosis
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
- Differential Diagnosis ... glaucoma - Ocular ... Trochlear headache • CNS ... Vasculitis Painful cranial ... #differential #diagnosis
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
gland) biopsy • Ocular ... nervous system (CNS ... disease, myelopathy, cranial ... neuropathy, transverse myelitis ... • 8%-27% for CNS
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Compartment syndrome • Myositis ... limb ischemia/cyanosis ... #differential #diagnosis ... extremity #msk #physicalexam
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... Vasculitis Differential Diagnosis ... ischemia • Skin: Erythematous ... chorioretinitis, CNS ... Cogan syndrome: Ocular
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... blinks to threat Cranial ... • Vestibulo-ocular ... caseyalbin #PhysicalExam ... neurology #comatose #diagnosis
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