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diagnosis differential ophthalmology infections infectiousdiseases management anisocoria blurry diplopia doublevision fungal hiv immune inflammatory manifestations mycoses neuromyelitis nmo opportunistic optica
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Iris 7. ... Trauma Cornea/Iris ... Uveitis Lens: • Cataracts ... glaucoma • GCA • Adie ... optic disk • HIV/AIDS
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... control of the iris ... Clinical confirmation ... pilocarpine which if positive ... #physicalexam #neurology
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 CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
HIV / AIDS - Differential ... • IRIS might ... should be based on clinical ... and <25% culture positive ... patients with IRIS
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Differential Diagnosis Algorithm ... Clinical Pearls ... • Neurologic ... a mass as the cause ... Refractive Error • Cataract
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
treatment of HIV/AIDS ... be present: • AIDS ... pleural effusions, CNS ... skin lesions, ocular ... Zoster flare, ocular
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
Optica (NMO) - Clinical ... desaturation, Scotoma, Ocular ... pain • Extra-CNS ... complications (AQP4-positive ... Manifestations #diagnosis #neurology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
yeast • At risk: AIDS ... especially the CNS ... MC: CNS CSF: • ... osteoarticular, pulmonary, ocular ... infection have positive
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