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diagnosis clinical rheumatology algorithm arthritis bee crypto cryptococcal gout gouty headache lesions management meningitis mnemonic msk myelitis noninflammatory phantoms ringenhancing
Alice in Wonderland Syndrome What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
• CNS: parietal ... ) • Infection ( ... ) • Brain lesions ... Syndrome #diagnosis #neurology ... #differential
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
Compatible syndrome + MRI ... RingEnhancing #Lesions #Brain ... #differential # ... diagnosis #causes ... #radiology #neurology
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
Space-occupying brain ... lesion • CNS ... infection (e.g., ... Matthew Ho, MD PhD ... Diagnosis #Algorithm #neurology
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... nervous system: Brain ... Lack of UMN/LMN signs ... ) studies • MRI ... #Diagnosis #neurology
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Arthritis) - MSK Radiology ... mass and NO prior signs ... diagnosed ON THE X-RAY ... Differential diagnosis ... #clinical #Radiology
BEE Syndromes - Non-inflammatory Causes Immune-mediated conditions affecting the Brain, Eye, and Ear Visual or auditory symptoms in
affecting the Brain ... nervous system (CNS ... neuropathy (LHON) plus MRI ... BEE #Syndromes #neurology ... noninflammatory #differential
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
that results in CNS ... • Bilateral signs ... brain and/or optic ... diagnosis #management #neurology ... #differential
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... affects the skin, neurologic ... oligoclonal bands • MRI ... tract, and often causes ... chorioretinitis, CNS
Cryptococcal meningitis on T2 MRI 30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
low glucose) CNS ... organism (soap bubble sign ... Nausea & vomiting ... #Brain #clinical ... #radiology
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