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differential management rheumatology cauda caudaequina causes equina gravis hearing loss ms multiple myasthenia otolaryngology otology sclerosis sjogrens transverse treatment vasculitis
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
- Differential Diagnosis ... Lack of UMN/LMN signs ... parainfluenza, Coxsackie, HIV ... #Differential #Diagnosis ... #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
• Bilateral signs ... Pleocytosis > 100 cells ... negative, MOG-IgG test ... brain and/or optic nerve ... #neurology #differential
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
compression of nerve ... cord infarct • HIV ... • Transverse myelitis ... • Provocative Tests ... #causes #neurology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
/Edrophonium test ... - Cogan sign ... - Peek sign 2. ... - Repetitive nerve ... #management #neurology
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... II ○ Susac’s syndrome ... Noise trauma ○ MS ... #Differential #Diagnosis
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
neuritis • Partial myelitis ... • Or brainstem syndromes ... objective evidence of neurologic ... taper 3-7 days - Short ... #management #neurology
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Diagnosis: • Dry ... RTA, TYPE I RTA Diagnosis ... myelopathy, cranial nerve ... neuropathy, transverse myelitis ... phenomenon (16%) MSK
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... purpura: Strong sign ... of shoulder and hip ... affects the skin, neurologic ... muscle weakness • Nerves
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