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Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Bell's Palsy - Diagnosis ... atypical symptoms): MRI ... within 4m #Bells ... #Palsy #Diagnosis ... Management #Treatment #Neurology
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
CNS ○ Infected cells ... similar to PML, but MRI ... Diagnosis: MRI ... disorder #dementia #AIDS ... #Neurology
Cytomegalovirus (CMV) in HIV-AIDS Patients
Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family.
CMV infection: virus isolation or detection
Cytomegalovirus (CMV) in HIV-AIDS ... Diagnosis: Quantitative ... any patient with HIV ... 50 or less: • Neurologic ... #AIDS #diagnosis
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
/ AIDS - Differential ... Diagnosis Framework ... per μL • Diagnosis ... Imaging: - MRI ... #AIDS #opportunistic
Stroke Mimics - Differential Diagnosis - MINT Mnemonic
 • Metabolic: Hyper-glycemia, Hypoglycemia, Wernicke's encephalopathy, Mitochondrial Encephalopathy
- Differential Diagnosis ... • Infectious: Bell's ... palsy (HSV), Vestibular ... CNS abscess • Neurologic ... #Differential #Diagnosis
Tolosa-Hunt Syndrome
What?
 • Unilateral orbital/retrobulbar pain
 • Paresis of the cranial nerves Ill, IV, VI
 •
cranial nerves Ill, IV ... fissure or orbit (MRI ... Syndrome #TolosaHunt #neurology ... #diagnosis
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Summary Acute AIDP ... Campylobacter jejuni - HIV ... Guillain-Barre Diagnosis ... axonal form • MRI ... management #treatment #neurology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
Evaluation • ABCs • IV ... a NCCT or • MRI ... Detected on NCCT vs MRI ... stroke #workup #diagnosis ... #checklist #neurology
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... pain/swelling, Wells ... pain, Preceded by URI ... caustic ingestion, HIV ... PCP #ChestPain #Diagnosis
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
- Microglial cells ... are the immune cells ... MRI: Brain, cervical ... motor neurons - IV ... Lateral #Sclerosis #neurology