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differential management causes checklist chronic criticalcare encephalitis evaluation fatigue fever fuo headache influenza meningitis mnemonic movementdisorders myasthenia origin perioperative phantoms
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
Algorithm Red ... symptoms and signs (e.g ... brain lesion • CNS ... infection (e.g. ... #Algorithm #neurology
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Algorithm Endocrine ... • Malignancy Infectious ... Pulmonary Disease Neurologic ... • Myasthenia Gravis ... • Drug Abuse (e.g
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Serologic and EMG ... /Edrophonium test ... Imaging - CT Chest ... precipitated by: Drugs, infection ... #neurology
Causes of Tremors - Movement Disorders - Differential Diagnosis Algorithm Action Tremor - Occurs During Voluntary Muscle
Algorithm Action ... Cerebellar Disease (e.g ... Tremor - Occurs at Rest ... Motionless Against Gravity ... MovementDisorders #Neurology
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
- Differential Diagnosis ... Postsynaptic: Myasthenia Gravis ... electromyographic (EMG ... #Differential #Diagnosis ... #neurology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework Viral Encephalitis: MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... Enteroviruses (e.g ... Arboviruses: - West ... Singh @rav7ks #CNS ... #diagnosis #neurology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
anti-GBM) Other tests ... : • CT chest to ... confirm DAH, r/o infection ... recent DAN) • EMG ... seen on chest CT
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... event, follow ACC algorithm ... determine if stress test ... indicated • EKG ... Obtain EKG if:
Severe Influenza Checklist Diagnostic tests - Blood cultures x2 - Sputum gram stain & culture
effusion - CT ... uncertainty (e.g ... opportunistic infection ... other indication (e.g ... ascorbic acid 1.5 grams
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
release assay (e.g ... ESR, +/- CRP • CT ... • Additional tests ... for infection depending ... Origin #Workup #diagnosis
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