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diagnosis management pulmonary spinal spinalcord syndrome algorithm autoimmune bronchiectasis cauda caudaequina causes cmv cytomegalovirus disorders encephalopathy equina infectiousdiseases lesions myopathy
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 ... 50 or less: • Neurologic ... Encephalitis, Myelitis ... #differential # ... signs #symptoms
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
• Bilateral signs ... and/or symptoms ... simplex virus, HIV ... diagnosis #management #neurology ... #differential
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
and signs below ... - Transverse myelitis ... Infections: - ... HIV, CMV, HTLV ... disorders #diagnosis #neurology
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... of the spinal cord ... Lack of UMN/LMN signs ... parainfluenza, Coxsackie, HIV ... #Diagnosis #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... Infarction - Infection ... syphilis, and HIV ... Lower motor neuron symptoms ... syndromes #lesions #differential
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
spine L1-L5 Symptoms ... so-called ‘red flag’ symptoms ... infarct • HIV ... • Transverse myelitis ... diagnosis #causes #neurology
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation Symptoms ... Nasal polyps and signs ... in the adjacent lung ... , CCP, ANCA • HIV ... Bronchiectasis #pulmonary #differential
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... in HIV - Differential ... • CT: Halo sign ... #Infections #HIV ... #AIDS #pulmonary
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
may precede the neurologic ... /Sepsis/Shock, Autoimmune ... Neurological symptoms ... Reversible course Differential ... Seizures: Treat with AEDs
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
- Differential ... Tenderness → Consider infectious ... papules and Gottron sign ... ) • Shawl sign ... #rheumatology #differential
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