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neurology management aids algorithm aortoenteric cns cord cytomegalovirus disorders encephalitis fistula infections meningitis spinal spinalcord summary symptoms transverse vascular weakness
Cytomegalovirus (CMV) in HIV-AIDS Patients Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family. CMV infection: virus isolation or detection
double-stranded DNA ... of symptoms or signs ... Encephalitis, Myelitis ... #HIV #AIDS #diagnosis ... #differential #
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
monophasic Pathophysiology ... • Bilateral signs ... tested and if negative ... simplex virus, HIV ... , Hep A/B/CMV, TB
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... Diagnosis Framework ... Lack of UMN/LMN signs ... parainfluenza, Coxsackie, HIV ... , CMV, EBV - Bacterial
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Cord Disorders - Differential ... Diagnosis Framework ... • Symptoms and signs ... - Transverse myelitis ... , HIV, CMV, HTLV
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 ... in 70%-85% • Negative ... Monocytogenes or gram negative
Aortoenteric Fistula - Diagnosis and Management Summary Epidemiology: • Uncommon but life-threatening • Most common site of bowel connection
duodenum Clinical Signs ... • Should be on differential ... Pathophysiology: ... first-line study - If negative ... - CMC IM Residency
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