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diagnosis differential symptoms rheumatology vasculitis apical arteritis cardiology classification cortex cortical double floaters gallop gca giantcell impulse lesion localization management
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
vessels involved/damaged ... systemic sx + signs ... in literature (NEJM ... cases (Cornelia NEJM ... #Signs #Symptoms
Clinical features of focal cortical brain lesions in a right-handed individual Frontal, either: Intellectual impairment, Personality
field defect Temporal ... Limb apraxia Occipital ... Localization #Symptoms #Signs
Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest
A small stick taped ... PhysicalExam #Video #Signs ... #Cardiology #NEJM
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 Mastoiditis: Pathogenesis and clinical findings Acute or Chronic Otitis Media -> Stage 1: Hyperemeia of the mastoid
portion of the temporal ... Posteriorly to occipital ... sinus thrombosis, Temporal ... pathophysiology #signs
Floaters - Differential Diagnosis Framework What? Vitreous Floaters: • Microscopic collagen fibers within the vitreous that tend to clump
Vitreous Floaters: • Microscopic ... hypotension - bilateral temporary ... light-headedness • Occipital ... tumors/Occipital
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
PR3-ANCA): • Microscopic ... and Superficial temporal ... purpura: strong sign ... Dx: GPA, EGPA, microscopic
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... and Superficial temporal ... (PR3-ANCA)): Microscopic
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