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diagnosis neurology treatment rheumatology headache algorithm causes infections vasculitis criticalcare msk sclerosis aids alcohol als amyotrophic aortoenteric arrhythmias arthritis autoimmune
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
papilledema • Horner syndrome ... • Meningeal signs ... ) • Systemic symptoms ... and signs (e.g. ... ) • Temporal arteritis
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Examination: • UMN signs ... Clonus, Babinski’s sign ... • Lhermitte’s sign ... pupillary defect SIGNS ... Signs and symptoms
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... functional deficit and arthritis ... "pooping duck sign ... fractures • ED Management ... Wrist #Carpal #Radiology
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
Behçet's Syndrome ... meningitis), MCC CNS symptoms ... Behcet disease) Differential ... #diagnosis #management ... #signs #symptoms
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
neuritis: Reduced visual ... Other brainstem syndromes ... erythematosus, Sjögren syndrome ... Manifestations #diagnosis #neurology ... #symptoms #signs
Management of Serotonin Syndrome Identify and stop all serotoninergic medications • Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin ... Syndrome Identify ... goal to normalize vital ... signs • Supplemental ... then 2 mg q2h if symptoms
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration • Symptoms ... dizziness, tinnitus, visual ... changes, stroke symptoms ... WBC >100k, + lab signs ... TLS #diagnosis #management
Photophobia and Headache - Differential Diagnosis Framework Why? • The coexistence of photophobia and headache suggests the potential
and Headache - Differential ... - Autonomic symptoms ... meningeal irritation signs ... Photophobia #Headache #differential ... ophthalmology #Neurology
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... very remarkable w/differential ... presence/absence of visual ... GCA #Temporal #Signs ... #Management
Causes of Peripheral and Central Vertigo PERIPHERAL VERTIGO 1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(Wallenberg's syndrome ... Syndrome usually ... varying neurologic signs ... Vertigo #Causes #differential ... #diagnosis #neurology
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