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

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Etiology: Idiopathic, HSV ... most common. ... : HZV (Ramsay-Hunt ... ), HIV, Lyme, GBS ... endemic area) ± HIV
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
to 8 years Clinical ... Chest CT: • Ground-glass ... DDX - Other causes ... Epstein-Barr syndrome, HIV ... hypogammaglobulinemia #immunology #hematology
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
- CMV - HCV ... - HIV • Immune ... and thymoma DDX ... immunodeficiency virus (HIV ... Anemia #oncology #hematology
Cold Agglutinin Disease

3 Types of Cold Sensitive Antibodies:
  1. Cold Agglutinins (CAD)
  2. Donath-Landsteiner
Viral Infection Clinical ... symptoms - most common ... Mycoplasma, EBV, HIV ... hemolytic #anemia #hematology ... #diagnosis
Rickettsialpox Eschar

40 homeless male from NY admitted with fever, chills, headache, myalgias. Diagnosis?
Rickettsialpox R akari classic
Diagnosis? ... lymph nodes are common ... , hsv, Queensland ... Eschar #rakari #clinical ... photo #skinrash #dermatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Nodosa: • PAN most commonly ... affects the skin, neurologic ... HTN • Check: HBV ... drug exposure or Dx ... #Rheumatology
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
Mucormycosis Eschar 30 M HIV ... Diagnosis? ... malnutrition, HIV ... Mucormycosis #Eschar #dermatology ... #skin #clinical
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
Cryptococcal meningitis, hiv ... DDX Tb meningitis ... sign on mri) HIV-infected ... T2 #MRI #Brain #clinical ... #radiology
Solitary Cell Plasmacytoma

What?
• Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma)
• In 3%
plasmacytoma) Clinical ... Scapula • Less common ... • 18F-FDG PET/CT ... higher risk 20% DDX ... #Workup #Hematology