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differential ophthalmology aids hiv physicalexam signs symptoms alice anisocoria associated avs cerebritis clinical clues cnxii cva dementia deviation diplopia disorder
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... dissociation • Other causes ... #PhysicalExam #neurology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Disorders • CN ... • CN IV (Trochlear ... • CN VI (Abducens ... One-and-a-half Syndrome ... ophthalmology #neurology
Anisocoria Evaluation Flow Chart - Differential Diagnosis 1. Check pupillary reaction to light 2. Measure pupil size.
- Horner's Syndrome ... Anisocoria - CN ... III Palsy - Pharmacologic ... Dilatation - Adie's ... Anisocoria #Evaluation #Algorithm
Alice in Wonderland Syndrome What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... macropsia), color, movement ... • CNS: parietal ... (Many causes!) ... #diagnosis #neurology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
CNS Infection in ... HIV-Associated CNS ... Infections: • Most CNS ... • CNS opportunistic ... 100% Primary CNS
CNS Manifestations of Systemic Lupus Erythematosus (SLE) Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
CNS Manifestations ... Demyelinating Syndrome ... , Headache, Movement ... Erythematosus #SLE #CNS ... #neurology #rheumatology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Algorithm Hypovolemic ... cirrhosis, nephrotic syndrome ... Pulmonary Diseases, CNS ... #Algorithm #diagnosis ... #nephrology #sodium
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
• CN VI palsy ... for ptosis with CN ... Ill palsy ... • Neurologic ... #Algorithm #Causes
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
/pain upon eye movement ... involvement: Intractable nausea ... pain • Extra-CNS ... Manifestations #diagnosis ... #neurology #symptoms
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 ... mononuclear cells in the CNS ... Diagnosis: MRI ... The clinical syndrome ... dysfunction like gait
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