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diagnosis ophthalmology rheumatology vasculitis anisocoria bee blurry classification clinical cmv cns cytomegalovirus infections infectiousdiseases management manifestations neurological noninflammatory opportunistic physicalexam
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
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 #
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
/AIDS patients ... be present: • AIDS ... skin lesions, ocular ... Zoster flare, ocular ... Syndrome #Differential
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
/ AIDS - Differential ... • IRIS might ... required until immune ... Demyelinating disease caused ... and <25% culture positive
Neurological Manifestations of Tuberculosis Spinal Arachnoiditis & Polyradiculopathy: • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
Reconstitution Inflammatory ... Syndrome (IRIS) ... : • In HIV+, usually ... neurological symptoms • Caused ... Tuberculosis #diagnosis #differential
BEE Syndromes - Non-inflammatory Causes Immune-mediated conditions affecting the Brain, Eye, and Ear Visual or auditory symptoms in
Causes Immune-mediated ... affecting the Brain, Eye ... pachymeningitis • HIV ... BEE #Syndromes #neurology ... noninflammatory #differential
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tract, and often causes ... inflammatory lesions-interstitial ... Arthralgias • Eye ... Eye -> retinopathy ... Cryoglobulins • HIV
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Arthralgias • Eye ... affects the skin, neurologic ... tract, and often causes ... inflammatory lesions
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