34 results
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Myasthenia Gravis ... life-threatening Differential ... immunologic assay - MuSK ... #diagnosis #management ... #neurology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia Gravis ... Myasthenia gravis ... pack test were negative ... tumor, and always ask ... ophthalmology #neurology
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Alpha-hemolytic, Catalase Negative ... peritonitis, and endocarditis ... Specificity of 97%) Treatment ... Meningitis 10-14 days, Endocarditis ... microbiology #diagnosis #management
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Myasthenia Gravis ... antibodies - MuSK-positive ... #Myasthenia #Gravis ... #diagnosis #management ... #neurology #treatment
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Sanguinis, Mitis, Oralis ... • Coagulase-negative ... Marantic (NTBE) Differential ... #diagnosis #management
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease (MS ... Syndrome, Myasthenia Gravis ... Weakness #Causes #differential ... #diagnosis #neurology
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Susceptibilities, Negative ... clinical concern for endocarditis ... IDSA #Guidelines #Management ... #candidiasis #treatment
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
infections • Gram-negative ... 13%), Pneumonia, Endocarditis ... Treatment: • 50% ... infectiousdiseases #diagnosis #management ... #treatment
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 • Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Stroke - Differential ... Algorithm and Management ... #Stroke #CVA #Differential ... Diagnosis #Algorithm #management ... #neurology #treatment
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 • Bacterial: Escherichia
cell carcinoma (native ... Renal #Transplant #differential ... #blood #urine #management ... #treatment #nephrology