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Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
Infection • Neuro: UMN ... stroke, tumor), LMN ... inclusion body-), PMR ... Differential #Diagnosis #causes
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
Motor Neuron (UMN ... neurotransmitter cause ... cause very different ... This lesion causes ... type of lesion causes
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
involving both UMN ... - Causes progressive ... combination of UMN ... and LMN signs in ... Escorial criteria uses
Incomplete spinal cord syndromes (ISCS) • Central - Small Lesion - Suspended sensory deficit, classic cape
lower extremities, LMN ... small band of LMN ... paraparesis (mixed UMN ... and LMN types) ... weakness (purely LMN
Bilateral LMN palsy with tongue weakness, wasting and fasciculations. → Bulbar motor Neuron disease Note
Bilateral LMN palsy ... differentiates this from an UMN ... fasciculations #LMN
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 Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
Calculate absolute PMN ... count (total WBC x PMN ... %) • Correct PMN ... RBCs (subtract 1 PMN ... ascites (CNNA) = PMN
Drugs Causing Acute Pancreatitis Class Ia: The medications in which there was a rechallenge and other causes
rechallenge and other causes ... out other common causes ... Class II: Cases ... and atleast4 case ... #Pancreatitis #Causes
Schematic examples of the cause of acute mitral regurgitation. LV, left ventricle; PM, papillary mucle; SAM,
examples of the cause ... left ventricle; PM ... MR #Diagnosis #Causes
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
) + ascites w/ PMN ... 100 WBC, >50% PMNs
Childhood Immunization Schedule: Why we immunize • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
within CNS causing MN ... cause quadriplegia ... within GI and URT causes ... Maternal viremia causes ... Hematogenous spread causes
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