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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 ... - Atypical Clinical ... atypical symptoms): MRI ... , parotid), CT ( ... sarcoid or other CNS
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
Diagnosis Framework ... should be based on clinical ... and radiographic features ... Imaging: - MRI ... enhancement on CT
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Diagnosis Framework ... • CT: Halo sign ... Polymorphic skin lesions ... Lymphadenopathy, CNS ... #AIDS #pulmonary
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
fibrotic lesions ... • HIV: 2/3 pulmonary ... Clinical Presentation ... Tuberculosis Diagnosis ... Tuberculosis #TB #Diagnosis
Sjogren's Syndrome Overview

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

Autoimmune exocrinopathy multisystemic disease
Can cause TYPE IV ... ducts Clinical ... phenomenon (16%) MSK ... MALT Lymphoma • Lung ... Sjogrens #Syndrome #Rheumatology
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
fibrotic lesions ... • HIV: 2/3 pulmonary ... Clinical Presentation ... Tuberculosis Diagnosis ... Tuberculosis #TB #Diagnosis
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
that results in CNS ... Transverse Myelitis - Clinical ... Alterations: - Sensory features ... Pleocytosis > 100 cells ... simplex virus, HIV
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
a decrease in HIV ... increase in CD4+ cells ... noncompliance • Clinical ... initiation Clinical ... pleural effusions, CNS
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... Multinucleated giant cells ... oligoclonal bands • MRI ... chorioretinitis, CNS ... #Rheumatology