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diagnosis physicalexam aids algorithm clinical cns comatose contusion cord ctchest cytomegalovirus disorders ecg ekg electrocardiogram encephalitis equivalents finger flexor hand
Cytomegalovirus (CMV) in HIV-AIDS Patients Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family. CMV infection: virus isolation or detection
of symptoms or signs ... or positive specific ... 50 or less: • Neurologic ... #differential # ... signs #symptoms
Positive Hoffmann's sign (finger flexor reflex) Flexion and adduction of the thumb and flexion of the index
Positive Hoffmann's ... sign (finger flexor ... indicating cervical injury ... #Hoffmanns #sign ... #physicalexam #msk
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 The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Awareness • Injury ... previous gaze position ... • Examine for signs ... #PhysicalExam #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Cord Disorders - Differential ... • Symptoms and signs ... , HIV, CMV, HTLV ... dysfunction • Abnormal reflexes ... disorders #diagnosis #neurology
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... disorder (Cardiac, pulmonary ... Lack of UMN/LMN signs ... parainfluenza, Coxsackie, HIV ... , CMV, EBV - Bacterial
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
continues into tall, positive ... V2 • Wellens sign ... pain • Wellens sign ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework Viral Encephalitis: MCC: Enteroviruses (e.g., coxsackievirus
Herpesviruses (MCC: HSV ... Varicella-zoster virus • CMV ... Acute meningeal signs ... • Gram stain: Positive ... #diagnosis #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... • Bilateral signs ... simplex virus, HIV ... , Hep A/B/CMV, TB ... #differential
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Vital signs: BP ... Pulmonary Contusion ... #Radiology #CTChest ... #Lung #Pulmonary
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