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differential management ophthalmology rheumatology associated clinical clues cns dementia disorder disorders extraocular half hand headache hearing infections infectiousdiseases localization loss
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Disorders • CN ... Palsy • CN IV ... palsy • CN VI ... 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 ... (CN7) Palsy Presentation ... bilateral, non-CN7 ... MRI+gad (stroke, CN7 ... #Palsy #Diagnosis
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
HIV / AIDS - Differential ... • Suspect in movement ... Demyelinating disease caused ... hearing loss, palsy ... of the abducens nerve
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 ... in the CNS ○ ... Diagnosis: MRI ... The clinical syndrome ... #Neurology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
the follow up video ... (no horizontal movement ... the hospital, diagnosed ... on IV steroids ... ophthalmology #neurology
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 Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
pupil with third nerve ... palsy - Tentorial ... • Extraocular movement ... deficits (CN Ill ... #differential #diagnosis
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Parotid swelling CNS ... nervous system (CNS ... myelopathy, cranial nerve ... • 8%-27% for CNS ... phenomenon (16%) MSK
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... (CN 8) ... II ○ Susac’s syndrome ... zoster virus ○ HIV
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
that results in CNS ... Pleocytosis > 100 cells ... brain and/or optic nerve ... simplex virus, HIV ... #management #neurology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... affects the skin, neurologic ... muscle weakness • Nerves ... tract, and often causes ... chorioretinitis, CNS
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