12 results
92F w acute painless monocular vision loss. What's the diagnosis?

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Central retinal artery occlusion (CRAO)! Retrobulbar "spot
What's the diagnosis ... Central retinal ... spot sign" with embolus ... Note arterial waveform ... Clinical #POCUS #OcularUS
Central Retinal Artery Occlusion: Pathogenesis and clinical findings
 • Inflammatory Disease: (i.e. GCA, SLE, GPA) ->
Central Retinal ... • Cardiogenic Embolism ... => Central Retinal ... pathophysiology #ophthalmology ... #diagnosis #signs
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Endocarditis General ... - Osler's nodes ... Neurological - Cerebral emboli ... Mycotic aneurysm Renal ... #PhysicalExam #Diagnosis
Transient Monocular Vision loss - Differential Diagnosis
Ischemia	
 - Large artery disease (atherothrombosis, embolus, dissection).
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atherothrombosis, embolus ... optic neuropathy, vasculitis ... Ocular causes - ... floaters obscuring central ... #Ophthalmology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
, small-vessel vasculitis ... ulceration • Ocular ... vasculitis) • ... : Giant retinal ... inhibitors • Uveitis- Ophthalmology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... ischemic skin lesions ... Mucocutaneous lymph node ... gastrointestinal, and/or central ... inflammatory lesions-interstitial
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Diagnosis Framework ... pulmonary and renal ... Mucocutaneous lymph node ... Angiitis of the Central ... gastrointestinal, and/or central
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
catheter • Recent dental ... Immunologic: • Osler nodes ... Differential Diagnosis ... valvular disease • Vasculitis ... or destructive lesion
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... catheter • Recent dental ... Immunologic: • Osler nodes ... valvular disease • Vasculitis ... or destructive lesion
Lyme Disease - Diagnosis and Management Summary

Lyme Disease Epidemiology:
- Spirochete
- Reservoir: small mammals & birds
- Transmitted
eastern and north regions ... Swollen lymph nodes ... Pericarditis • Ocular ... Iridocyclitis - Retinal ... vasculitis -