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diagnosis ophthalmology cns infections rheumatology vasculitis algorithm anisocoria bee blurry classification clinical cmv conjunctivitis cytomegalovirus diplopia doublevision encephalitis evaluation falls
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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 CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
/ AIDS - Differential ... • IRIS might ... required until immune ... and <25% culture positive ... #diagnosis #AIDS
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • Neurologic ... symptoms suggest ... 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 ... skin lesions, ocular ... Zoster flare, ocular ... Leishmaniasis Differential
Red Eye - Differential Diagnosis Framework What? Redness in the eye can be caused by many conditions and
Red Eye - Differential ... Episcleritis Ocular ... Hemorrhage Lids ... Unilateral or bilateral symptoms ... #ocular #differential
Neurological Manifestations of Tuberculosis Spinal Arachnoiditis & Polyradiculopathy: • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
Inflammatory Syndrome (IRIS ... ): • In HIV+, usually ... • Caused by immune ... Tuberculosis #diagnosis #differential ... #TB #neurology
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 ... pachymeningitis • HIV ... BEE #Syndromes #neurology ... noninflammatory #differential
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Necrotizing, pauci-immune ... tract, and often causes ... Presentation - Systemic Symptoms ... Arthralgias • Eye ... Eye -> retinopathy
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