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Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Etiology: Idiopathic, HSV ... : HZV (Ramsay-Hunt ... ), HIV, Lyme, GBS ... endemic area) ± HIV ... Management #Treatment #Neurology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
HIV / AIDS - Differential ... Principles of HIV-Associated ... Infections in HIV ... #HIV #CNS #Infections ... InfectiousDiseases #Neurology
Causes of CSF Lymphocytic Pleocytosis - Differential Diagnosis
Viral: Arbo, Adeno, Herpes, Entero, HIV
Fungal: Cryptococcus, Cocci, Histo,
Herpes, Entero, HIV ... Mycobacteria (TB ... B.burgdoferi Non-infectious ... Diagnosis #Causes #neurology
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
: • HIV • Recent ... disease • DM DDX ... are pulmonary • HIV ... TST or IGRA HIV ... : • HIV-infected
Stroke Mimics - Differential Diagnosis - MINT Mnemonic
 • Metabolic: Hyper-glycemia, Hypoglycemia, Wernicke's encephalopathy, Mitochondrial Encephalopathy
Hypercarbia • Infectious ... Bell's palsy (HSV ... Vestibular neuronitis, CNS ... abscess • Neurologic ... MINT #Mnemonic #neurology
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
: • HIV • Recent ... disease • DM DDX ... are pulmonary • HIV ... TST or IGRA HIV ... : • HIV-infected
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
and infects the CNS ... early stages of infection ... cells in the CNS ... : The clinical ... dementia #AIDS #Neurology
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
(IRIS): • In HIV ... with pulmonary TB ... or abruptly • CN ... #differential #TB ... #neurology
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
Most invasive infections ... SOT, Advanced HIV ... /AIDS, CGD) Clinical ... Rhinosinusitis, CNS ... angle branching • Ddx
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
history of cancer, HIV ... brain lesion • CNS ... infection (e.g. ... Diagnosis #Algorithm #neurology