10 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... non-localized EOM ... cogan sign and the ice ... #PhysicalExam #clinical ... ophthalmology #neurology
Lyme Disease: Early and Late Clinical manifestations
Stage 1. Localized
 • EM appears 7-14 days at the
Early and Late Clinical ... Localized • EM ... days-weeks after EM ... lymphocytic meningitis, CN ... Lyme #Disease #diagnosis
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... Postsynaptic: Myasthenia Gravis ... Coxsackie, HIV, CMV, EBV ... #Differential #Diagnosis ... #neurology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
- Differential Diagnosis ... should be based on clinical ... effect/Edema • EBV ... and <25% culture positive ... InfectiousDiseases #Neurology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... virus • CMV • EBV ... • Common clinical ... Singh @rav7ks #CNS ... #neurology #meningitis
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Serial trops (-) EM ... Admit ==> Positive ... Metoprolol - VCU ... Cardiomyopathy #HOCM #HCM #clinical
Cullen's sign. Lipase 1,781. Bruising in the skin around the umbilicus. This sign is named after
Clinical Significance ... a significant clinical ... Diagnosis and Context ... #cullensign #em ... peritonitis #IM #FM #ICU
Taken from the Textbook fo Stroke Medicine, this image details some possible findings in a subarachnoid-hemorrhage.
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Sylvian fissure #diagnosis ... #neurology #em ... #clinical #subarachnoid
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
that results in CNS ... Transverse Myelitis - Clinical ... bouts of HTN Diagnostic ... Brucellosis - Dengue, EBV ... #management #neurology
Langerhans Cell Histiocytosis (LCH)

Granulomatous Lesions comprising langerin-positive histiocytes and an inflammatory infiltrate can arise in virtually
comprising langerin-positive ... populations) CLINICAL ... CNS involvement: ... Birbeck granules (EM ... DIAGNOSIS • Imaging