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diagnosis differential management symptoms algorithm arteritis comparison emergency encephalitis encephalopathy gca giantcell headaches hearing infections loss meningitis mnemonic otolaryngology otology
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
papilledema • Horner syndrome ... lyme • Altered mental ... brain lesion • CNS ... infection (e.g. ... Diagnosis #Algorithm #neurology
Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... vasoconstriction syndrome ... movement deficits (CN ... #signs #symptoms ... #clues #differential
Headaches Overview - Primary vs Secondary Headaches What’s the Core Difference? • Primary headache = headache is
aneurysm) • Infection ... Common Secondary Causes ... : • SAH (Thunderclap ... N Neurological signs ... confusion, focal signs
Emergent Causes of Headache and Associated Risk Factors Carbon monoxide poisoning - Breathing in enclosed or confined
Emergent Causes ... of sinus or ear infection ... parasitic or fungal infection ... vasoconstriction syndrome ... #redflags #signs
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
characterized by: • Headache ... status • Headache ... may precede the neurologic ... the underlying cause ... with AEDs until cause
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 ... differential #diagnosis #neurology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
, r/o infection ... recent DAN) • EMG ... /NCS for mononeuritis ... Goodpasture's cause ... blood retum in serial
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
include a: • Neurologic ... Infection or cancer ... disruption ○ Otitis media ... cause unknown) ... II ○ Susac’s syndrome
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Involves large and medium ... systemic sx + signs ... vasculitis vs infection ... claudication, headaches
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... primary condition MEDIUM ... tract, and often causes ... , recent viral infection ... chorioretinitis, CNS
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