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differential management multiple bee clinical criteria half hearing mcdonald myelitis noninflammatory one oneandahalf ophthalmology otolaryngology otology physicalexam rheumatology syndrome syndromes
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
nearly 3:1 • MS ... resonance imaging [MRI ... criteria for MS ... impairment (Loss ... #MS
McDonald Criteria for Diagnosis of Multiple Sclerosis • 2 or more attacks, 2 or more lesions
McDonald Criteria for Diagnosis ... of Multiple Sclerosis ... from onset - One year ... #Multiple #Sclerosis ... #MS #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
10-33% develop MS ... • Bilateral signs ... swollen, while in MS ... Predictive of MS ... (MS) - Neuromyelitis
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
Diagnosis Framework ... include a: • Neurologic ... tympanic membrane • Neurologic ... Noise trauma ○ MS ... #Differential #Diagnosis
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
clinic with vision loss ... , and multiple sclerosis ... MRI was ordered ... the hospital, diagnosed ... with MS, and started
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 BEE Syndromes - Non-inflammatory Causes Immune-mediated conditions affecting the Brain, Eye, and Ear Visual or auditory symptoms in
Brain, Eye, and Ear ... sensorineural hearing loss—wolfram ... neuropathy (LHON) plus MRI ... consistent with MS ... BEE #Syndromes #neurology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Anorexia • Weight loss ... , particularly scleritis ... purpura: Strong sign ... malaise, weight loss ... oligoclonal bands • MRI
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