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differential algorithm causes headache management arteritis blurry diplopia doublevision encephalopathy evolution findings giantcell interpretation mnemonic mri phantoms photophobia posterior pres
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Differential Diagnosis ... : • CVA/TIA ... angle-closure glaucoma • GCA ... Red Flags: • ... #ophthalmology
Evolution of stroke on CT and MRI. Day 1: NCHCT demonstrates obscure left insular cortex. No
Evolution of stroke ... abnormalities in the left MCA ... images show a chronic ... #Stroke #CVA #MRI ... Progression #Timeline #Neurology
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
Algorithm Red ... papilledema • Horner ... ) • Systemic symptoms ... conditions: • Stroke ... #Algorithm #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Diplopia - Double Vision ... VI palsy is a red ... • Neurologic ... symptoms suggest ... Functional • Corneal
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... claudication, headaches, vision ... required +/- prompt ophthalmology ... absence of visual symptoms ... Temporal #Signs #Symptoms
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
• Seizures • Vision ... may precede the neurologic ... Neurological symptoms ... narrowing on MRA/CTA ... Constipation, Seizures, Stroke
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
hypothalamus, and visual cortex ... without aura - Chronic ... - Autonomic symptoms ... #ophthalmology ... #Neurology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Elevated ESR and CRP GCA ... develop in pts with GCA ... • Progressive symptoms ... Eosinophilia, asthma, chronic ... Skin lesions (red
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