14 results
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA)

1) Is visual loss caused
Anterior ischemic ... Is visual loss caused ... Definition: acute ischemic ... GiantCellArteritis #GCA #Rheumatology ... #Ophthalmology
Differential Diagnosis for Vision Loss
Unilateral, Painful Vision Loss:
 • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
thrombosis, Temporal arteritis ... Lens dislocation, Ischemic ... Loss: • Stroke ... differential #diagnosis #causes ... #ophthalmology
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
Vision Loss - Differential ... Vein Occlusion, Ischemic ... @amouradmd #Vision ... Differential #Diagnosis #causes ... #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diplopia - Double Vision ... Cannot Abduct • Ischemia ... unreactive pupil • Ischemia ... looking medially • Ischemia ... #Ophthalmology
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... • Mechanism: ischemic ... Osteomyelitis / Septic Arthritis ... differential #diagnosis #causes ... #hematology
Treatment of giant cell arteritis (GCA)

1st Line Strategy - GC 0.7 mg/kg/day, except for:
 • Aortitis
of giant cell arteritis ... mg/kg/day • Ischemic ... scalp necrosis, stroke ... MTX or TCZ in case ... #Indications #rheumatology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... visual changes, stroke ... symptoms, coma ... AKI, acute limb ischemia ... diagnosis #management #hematology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis: • Purpura, ischemic ... and mesenteric ischemia ... Non-glomerular ischemia ... tract, and often causes ... Differential #Diagnosis #Rheumatology
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
• Myocardial ischemia ... the following symptoms ... Cervical spine arthritis ... • Associated symptoms ... Hemoptysis • Loss of vision
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
meningitis), MCC CNS symptoms ... retinal tears, Ischemia ... inhibitors • Uveitis- Ophthalmology ... management #signs #symptoms ... #rheumatology #