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diagnosis cns infections ophthalmology physicalexam rheumatology vasculitis anisocoria blurry classification clinical cmv comatose cytomegalovirus encephalitis infectiousdiseases inflammatory management meningitis opportunistic
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Blurry Vision - Differential ... Iris 7. ... Uveitis Lens: • Cataracts ... glaucoma • GCA • Adie ... optic disk • HIV
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 #
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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 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 ... Leishmaniasis 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
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tract, and often causes ... Arthralgias • Eye ... purpura: strong sign ... Eye -> retinopathy ... Cryoglobulins • HIV
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Arthralgias • Eye ... purpura: Strong sign ... affects the skin, neurologic ... tract, and often causes
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework Viral Encephalitis: MCC: Enteroviruses (e.g., coxsackievirus
Herpesviruses (MCC: HSV ... Acute meningeal signs ... • Gram stain: Positive ... Develops in the immune ... #diagnosis #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Vestibulo-ocular ... • Examine for signs ... Casey Albin MD @ ... #PhysicalExam #neurology
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