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differential management ophthalmology physicalexam aids algorithm clinical hiv inflammatory signs symptoms syndromes treatment alice associated avs bells brain cerebritis clues
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
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
Bell's Palsy - Diagnosis ... Facial Nerve (CN7 ... bilateral, non-CN7 ... MRI+gad (stroke, CN7 ... sarcoid or other CNS
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 Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
CNS Ring-Enhancing ... + toxo IgG • CNS ... 30% present w/ CNS ... Solitary Lesion: • CNS ... @AnnKumfer #CNS
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
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear Visual or auditory symptoms in conjunction
BEE Syndromes - ... nervous system (CNS ... Inflammatory causes ... Neurosarcoidosis #BEE ... #Syndromes #neurology
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
treat underlying cause ... cirrhosis, nephrotic syndrome ... Polydipsia - Beer ... Pulmonary Diseases, CNS ... #nephrology #sodium
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
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