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Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Bell's Palsy - Diagnosis ... ): MRI+gad (stroke ... sarcoid or other CNS ... inflammatory cause ... #Treatment #Neurology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
HIV / AIDS - Differential ... Imaging: - MRI ... Demyelinating disease caused ... hearing loss, palsy ... #AIDS #opportunistic
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Chorioretinitis • Diagnosis ... Compatible syndrome + MRI ... lesions • 80% with lung ... #causes #radiology ... #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
CN VI palsy ... Ill palsy ... • Neurologic ... symptoms suggest ... Orbital Floor Fracture
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... Pulmonary: dyspnea ... acute sarcoidosis Pulmonary ... anterior/posterior MSK ... iridocyclitis) and facial palsy
BEE Syndromes - Non-inflammatory Causes

Immune-mediated conditions affecting the Brain, Eye, and Ear

Visual or auditory symptoms in
Non-inflammatory Causes ... nervous system (CNS ... neuropathy (LHON) plus MRI ... consistent with MS ... BEE #Syndromes #neurology
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential Diagnosis ... Lymphadenopathy, CNS ... Constitutional symptoms ... Infections #HIV #AIDS ... #pulmonary #differential
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
that results in CNS ... Alterations: - Sensory features ... bouts of HTN Diagnostic ... Bilateral signs and/or symptoms ... #management #neurology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
yeast • At risk: AIDS ... especially the CNS ... MC: CNS CSF: • ... change in the lungs ... nails, bronchi, lungs
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Hypocomplementemia • Can cause ... Disease: • 10%-15% Pulmonary ... , INC risk PE, Pulmonary ... phenomenon (16%) MSK ... MALT Lymphoma • Lung