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diagnosis ophthalmology algorithm infections anisocoria bee blurry clinical cmv cytomegalovirus diplopia doublevision encephalitis eyeball infectiousdiseases inflammatory management manifestations meningitis misalignment
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. ... Ocular Adverse Effects ... Uveitis Lens: • Cataracts ... glaucoma • GCA • Adie ... optic disk • HIV
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
HIV / AIDS - Differential ... • IRIS might ... required until immune ... Demyelinating disease caused ... and <25% culture positive
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... control of the iris ... pilocarpine which if positive ... #physicalexam #neurology
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 Cytomegalovirus (CMV) in HIV-AIDS Patients Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family. CMV infection: virus isolation or detection
Cytomegalovirus (CMV) in HIV-AIDS ... inclusions or positive ... 50 or less: • Neurologic ... Neuropathy • Eye ... #differential #
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • Neurologic ... a mass as the cause ... Refractive Error • Cataract ... Cranial Nerve IV
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
/AIDS patients ... be present: • AIDS ... pleural effusions, CNS ... skin lesions, ocular ... Zoster flare, ocular
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm Phoria: • Latent deviation • Symmetrical corneal light reflex,
Strabismus - Ocular ... Misalignment - Differential ... Negative cover test positive ... IV Problem (eye ... Diagnosis #Algorithm #Causes
Neurological Manifestations of Tuberculosis Spinal Arachnoiditis & Polyradiculopathy: • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
Inflammatory Syndrome (IRIS ... ): • In HIV+, usually ... neurological symptoms • Caused ... or abruptly • CN ... Tuberculosis #diagnosis #differential
BEE Syndromes - Non-inflammatory Causes Immune-mediated conditions affecting the Brain, Eye, and Ear Visual or auditory symptoms in
Immune-mediated ... affecting the Brain, Eye ... nervous system (CNS ... pachymeningitis • HIV ... BEE #Syndromes #neurology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework Viral Encephalitis: MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... Herpesviruses (MCC: HSV ... Develops in the immune ... Singh @rav7ks #CNS ... #diagnosis #neurology
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