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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 ... Unilateral Facial Nerve ... , Lyme, facial nerve ... inflammatory cause ... within 4m #Bells
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
HIV / AIDS - Differential ... • IRIS might ... of the abducens nerve ... patients with IRIS ... #Infections #differential
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
increase in CD4+ cells ... pleural effusions, CNS ... Leishmaniasis Differential ... #Syndrome #Differential ... #Diagnosis #Management
Guillain–Barré syndrome (GBS)
(aka: Landry–Guillain–Barré–Strohl syndrome:
	Most common cause of acute flaccid paralysis
	Rapidly progressive ascending paralysis & areflexia
	Autonomic
Differential diagnosis ... Multiple Sclerosis: CNS ... prominent cranial nerve ... paralysis but spares ...  Transverse myelitis
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Overview Focal inflammatory ... that results in CNS ... brain and/or optic nerve ... #management #neurology ... #differential
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
spinal cord and nerve ... Reconstitution Inflammatory ... Syndrome (IRIS) ... #Tuberculosis #diagnosis ... #differential #
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
nervous system (CNS ... myelopathy, cranial nerve ... peripheral neuropathy, transverse ... • 8%-27% for CNS ... #Management
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
- Microglial cells ... can become pro-inflammatory ... conditions listed in differential ... activity between nerve ... #management
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
photosensitivity, inflammatory ... permanent alopecia Differential ... Diagnosis: • ANCA-associated ... and CNS • Headache ... neuropathy • Transverse
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... Diagnosis Framework ... muscle weakness • Nerves ... chorioretinitis, CNS ... syndrome: Ocular inflammatory