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Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
liver function tests ... of liver blood tests ... that should be ... presence of metabolic syndrome ... Liver #Enzymes #Differential
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
bowel and sexual dysfunction ... • Provocative Tests ... absent anal wink test ... axial T1 and T2 Treatment ... #differential #
Guillain–Barré syndrome (GBS)
(aka: Landry–Guillain–Barré–Strohl syndrome:
	Most common cause of acute flaccid paralysis
	Rapidly progressive ascending paralysis & areflexia
	Autonomic
Guillain–Barré syndrome ... Landry–Guillain–Barré–Strohl syndrome ... Differential diagnosis ... cranial nerve dysfunction ...  West Nile virus
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
thyroid, Sjogren syndrome ... “dropping head syndrome ... life-threatening Differential ... Bedside: ice pack test ... /Edrophonium test
Rhombencephalitis
BACTERIAL
- Listeria (biphasic illness with bulbar dysfunction occurring later)
- Mycobacterium tuberculosis
- Pneumococcus
- Brucella
- Borrelia (Lyme Disease)
-
illness with bulbar dysfunction ... encephalitis, West ... - Bickerstaff syndrome ... opsoclonus-myoclonus syndrome ... Rhombencephalitis #Differential
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
pathognomonic laboratory tests ... Positive pathergy test ... is a skin prick test ... Behcet disease) Differential ... Arthritis, AS Treatment
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
Emergencies - Differential ... Hyperviscosity Syndrome ... • Dyspnea at rest ... • Chest and shoulder ... emergencies #oncology #differential
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
permanent organ dysfunction ... Treatment depends ... • Serotonin syndrome ... Anticholinergic syndrome ... #Hyperthermia #Differential
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Hearing Loss - Differential ... The evaluation should ... audiometry • Patients should ... II ○ Susac’s syndrome ... Hearing #Loss #Differential
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
unclear, endothelial dysfunction ... Reversible course Differential ... count in the CSF should ... epilepticus Treatment ... underlying cause • Treatment