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management differential comatose disease evaluation falls fungal geriatrics giantcell infections infectiousdiseases mycoses physicalexam recurrent rheumatology signs symptoms temporal treatment trypanosomiasis
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
arteritis (GCA) ... with systemic, neurologic ... systemic sx + signs ... headaches, vision changes ... Biopsies remain positive
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... Elevated ESR and CRP GCA ... develop in pts with GCA ... fluid (CSF) is abnormal ... and gray matter changes
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary Chagas disease (American trypanosomiasis) is an infectious
Trypanosomiasis - Diagnosis ... Romana's sign ... /symptoms, positive ... serology, smear ... PCR + 20-90%, normal
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... previous gaze position ... tendon reflexes • Plantar ... • Examine for signs ... #PhysicalExam #neurology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
duration is 6 to 12 ... often in soil, plants ... , or plant debris ... Meningitis, septic arthritis ... infection have positive
Evaluation of Recurrent Falls Core Concept: Maintaining an upright posture requires the integrated function of multiple systems. Disruption in
recent vision changes ... e.g., diabetic, B12 ... Numbness in feet, positive ... Romberg sign ... - Rheumatoid arthritis
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