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CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... Enteroviruses (e.g ... Acute meningeal signs ... Singh @rav7ks #CNS ... #neurology #meningitis
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... : Serial negative ... in up to 30% of cases ... #Endocarditis #comparison ... #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... the determined cause ... algorithm #management #cardiology ... #treatment #table ... #heartfailure #chf
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... May have typical HF ... during Delivery • Stable ... deteriorating on medical ... #management #cardiology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Na delivery): CHF ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... Bicarb<22) - avoid NS
Hyperthermic Toxidromes
Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures.
 • Sympathomimetic -
rhabdomyolysis, altered mental ... signaling in the CNS ... pharmacogenetic disease caused ... Hyperthermic #Toxidromes #comparison ... #table #diagnosis
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... primary condition MEDIUM ... affects the skin, neurologic ... tract, and often causes ... chorioretinitis, CNS
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
Diagnosis? ... low glucose) CNS ... organism (soap bubble sign ... Nausea & vomiting ... is common 65%. median