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neurology differential signs syndrome likelihood management ophthalmology ratios rheumatology symptoms abnormal adies approach atlas beaus cauda caudaequina causes clinical clues
Approach to an Eye Exam 1. History 2. Obvious Physical Trauma 3. Initial Assessment A. Visual Acuity
Ocular Movements (CN ... Fundoscopy A. ... Ophthalmology #PhysicalExam
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Transverse Myelitis ... that results in CNS ... bouts of HTN Diagnostic ... Myelitis Diagnosis ... #Myelitis #diagnosis
Physical Exam findings in Lower Extremity DVT - Likelihood Ratios - Asymmetric calf swelling, ≥2 cm
- Tenderness - NS ... Palpable cord - NS ... Homans sign - NS ... Likelihood #Ratios #PhysicalExam ... #diagnosis
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
Many others • Transverse ... pain • Extra-CNS ... Manifestations #diagnosis
Cushing Syndrome - Likelihood Ratios of Physical Exam Findings Moon facies LR +1.6 Central obesity LR +3.0 Generalized obesity
, in women LR +NS ... blue striae LR NS ... #Ratios #LRs #PhysicalExam ... #diagnosis #endocrinology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
females Differential Diagnosis ... : • CN Ill Palsy ... #Adies #Pupil #PhysicalExam
Nail Pathologies - Findings in or Near Nails Paronychia A superficial infection of the proximal and lateral
Transverse White ... Transverse Linear ... Beau's Lines) Transverse ... Abnormal #Pathology #Diagnosis ... Clinical #Signs #PhysicalExam
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
equina syndrome (CES ... Differential Diagnosis ... myelopathy • Transverse ... #differential #diagnosis
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Sjogren's Syndrome Diagnosis ... Parotid swelling CNS ... nervous system (CNS ... peripheral neuropathy, transverse ... • 8%-27% for CNS
Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
pulsations on funduscopy ... movement deficits (CN ... #differential #diagnosis
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