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diagnosis differential rheumatology clinical headache management neurology ocular ophthalmology ultrasound arteritis classification clues erythematosus gca giantcell hypertension idiopathic iih intracranial
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Vasculitis and Vasculitides ... and peripheral nerves ... Presentation - Systemic Symptoms ... purpura: strong sign ... Nerves -> mononeuritis
Enlarged optic nerve sheath diameter and crescent sign in 30 yo female patient reporting 3 months
Enlarged optic nerve ... sign in 30 yo female ... @SAlerhand #Papilledema ... Hypertension #Ocular #POCUS ... #sign
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 Papilledema on Ocular POCUS Eye, linear probe, optic nerve (ON) elevation >0.6 mm into globe (crescent sign)
POCUS Eye, linear ... probe, optic nerve ... mm into globe (crescent ... sign) c/w papilledema ... #Ocular #POCUS
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 Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... funduscopy or papilledema ... pupil with third nerve ... #headache #signs ... #symptoms #clues
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Presentation: Systemic Symptoms ... purpura: Strong sign ... muscle weakness • Nerves ... • Progressive symptoms
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Butterfly rash, Vasculitis ... Polyneuropathy, Cranial nerve ... erythematosus #signs ... #symptoms #diagnosis
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic inflammatory vasculitis ... systemic sx + signs ... differential diagnosis = vasculitis ... GCA can present ... GCA #Temporal #Signs
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
- Autonomic symptoms ... meningeal irritation signs ... headache • CNS Vasculitis ... the trigeminal nerve
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
• Bilateral signs ... and/or symptoms ... brain and/or optic nerve ... - Sjogren - Vasculitis
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