61 results
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Whipple Disease ... and Management ... Caused by: Tropheryma ... positive T. whipplei test ... #management #criteria
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Chorioretinitis • Diagnosis ... toxo IgG • CNS PCR ... #differential #diagnosis ... #causes #radiology ... #neurology
Diagnosing Brucellosis
Epidemiological Exposures
- Endemic Regions
- Clinical Micro Lab Technicians
- Animal/Vaccine Exposure: Vets, Slaughterhouse workers, hunters
- Unpasteurized
Endemic Regions - Clinical ... Tests: - CBC ... Transaminitis - Radiology ... , Convalescent Serology ... SAT, ELISA), 16S PCR
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
structural heart disease ... further guide management ... should be guided ... by clinical suspicion ... the underlying disease
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... The evaluation should ... include a: • Neurologic ... cause unknown) ... ○ HIV ○ Lyme disease
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
should be based ... on clinical presentation ... antiretroviral therapy should ... Demyelinating disease ... caused by the JC
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
non-productive cough, nausea ... ARDS Diagnosis ... Epidemiologic exposure + clinical ... agglutination - test ... #treatment #management
Helicobacter Pylori (H. pylori) Infection - Diagnosis and Management - GrepMed Handbook
Presentation: Dyspepsia / Peptic Ulcer
pylori) Infection - Diagnosis ... and Management ... / Peptic Ulcer Disease ... flagyl 500mg TID if PCN-allergy ... Ag, Urea Breath Test
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Studies in Rheumatic Diseases ... should be obtained ... (to support a diagnosis ... ANA and RF (if clinical ... laboratory #workup #diagnosis
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
: • Based on clinical ... More likely to cause ... glucocorticoids - can cause ... - Improves clinical ... #management #neurology