11 results
Algorithm for evaluating multiple ring-enhancing lesions in immunocompetent (HIV negative)

#ringenhancing #lesions #cns #brain #diagnosis #differential #algorithm
Algorithm for evaluating ... immunocompetent (HIV ... #cns #brain #diagnosis ... #causes #radiology ... #neurology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
PCR 50% sensitive ... Syphilis • Pyogenic Abscess ... #Brain #differential ... #diagnosis #causes ... #radiology #neurology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
Diagnosis Framework ... cells per μL • Diagnosis ... parietal - Size lesions ... tuberculomas, or abscesses ... #differential #diagnosis
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
and infects the CNS ... mononuclear cells in the CNS ... lesions, which ... Diagnosis: MRI ... dementia #AIDS #Neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... pulmonary etc) • CNS ... abscess • Toxic ... parainfluenza, Coxsackie, HIV ... #neurology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Algorithm Red ... history of cancer, HIV ... Space-occupying brain ... lesionCNS ... #Algorithm #neurology
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
equina syndrome (CES ... Differential Diagnosis ... cord infarct • HIV ... Spinal infection/abscess ... #causes #neurology
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential Diagnosis ... Lower roots -> Cauda ... , HIV, CMV, HTLV ... #neurology #differential ... #algorithm
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
(IRIS): • In HIV ... stroke Tuberculous Abscess ... contrast enhancement Brain ... or abruptly • CN ... #Tuberculosis #diagnosis
Causes of Hypotonic Infant (Floppy Newborn) - Differential Diagnosis Algorithm
Central Nervous System - Decreased LOC, Axial
Algorithm Central ... Normal Reflexes - Brain ... Hemorrhage • CNS ... Intracranial Mass/lesion ... Hematoma • Abscess