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differential syndrome algorithm cord management spinal spinalcord acute aids caudaequina cmv cytomegalovirus disorders dizziness equina gbs guillain hearing lesions myelitis
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... with vascular causes ... No auditory symptoms ... Hearing loss. ... Long symptom-free
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
Diagnosis Framework ... masses and lymphadenitis ... cause unknown) ... Labyrinthitis ○ Epstein-Barr ... zoster virus ○ HIV
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
spine L1-L5 Symptoms ... - Emergency Causes ... cord infarct • HIV ... cord • Guillain-Barre ... #causes #neurology
Acute Retroviral Syndrome Acute Retroviral Syndrome is the symptomatic presentation of acute human immunodeficiency virus infection •
49%) • Weight loss ... DDX: • Epstein-Barr ... antibody and HIV ... -1 and HIV-2 • ... #diagnosis
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
immunodeficiency virus (HIV ... than one after symptom ... sensitive tests ... cauda equina TREATMENT ... #management #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... Lower roots -> Cauda ... Non-compressive Spinal Cord Causes ... , HIV, CMV, HTLV ... #neurology #differential
Cytomegalovirus (CMV) in HIV-AIDS Patients Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family. CMV infection: virus isolation or detection
regardless of symptoms ... antigenemia test ... and CD4 50 or less ... : • Neurologic ... Retinitis (Most common cause
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... HIV) - Vitamin ... involvement Cauda ... #differential #diagnosis ... #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
/or symptoms • ... negative, MOG-IgG test ... • Infectious causes ... simplex virus, HIV ... #management #neurology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Presentation: Systemic Symptoms ... Anorexia • Weight loss ... malaise, weight loss ... • Progressive symptoms ... often causes arthritis
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