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differential signs infections management neurology rheumatology algorithm cardiology clues disease ekg emergency encephalitis equivalents erythematosus fungal gca giantcell infectiousdiseases interpretation
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
Altered mental status ... ) • Systemic symptoms ... and signs (e.g. ... brain lesion • CNS ... ) • Temporal arteritis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... T waves - starts ... #EKG #diagnosis ... #electrocardiogram
Lyme Disease: Early and Late Clinical manifestations Stage 1. Localized • EM appears 7-14 days at the
manifestations Stage ... myalgia, arthralgia, headache ... years after • Arthritis ... Lyme #Disease #diagnosis ... #signs #symptoms
Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... Nonfocal mental status ... poisoning • Mental status ... #signs #symptoms ... #differential #diagnosis
Emergent Causes of Headache and Associated Risk Factors Carbon monoxide poisoning - Breathing in enclosed or confined
with the same symptoms ... Immunocompromised state ... immunization Temporal arteritis ... #redflags #signs ... #emergency #diagnosis
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework Viral Encephalitis: MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... Enteroviruses (e.g ... parenchymatous (tabes ... Acute meningeal signs ... Altered mental status
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... systemic sx + signs ... claudication, headaches ... GCA #Temporal #Signs ... #Symptoms #Diagnosis
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... < 30 years • Aorta ... ): • Aorta and ... 50 years • New headache ... chorioretinitis, CNS
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Differential Diagnosis ... and CNS • Headache ... • Malar rash - spares ... Induced Lupus: • Symptoms ... Erythematosus #Diagnosis
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
cough, chills, headache ... iron overload states ... especially the CNS ... MC: CNS CSF: • ... Meningitis, septic arthritis
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