Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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diagnosis differential management causes endocarditis neurological algorithm arteritis cns coccidiodomycosis comparison complications cva epidural gca giantcell idsa infective lesions manifestations
Stroke Mimics - Differential Diagnosis - MINT Mnemonic • Metabolic: Hyper-glycemia, Hypoglycemia, Wernicke's encephalopathy, Mitochondrial Encephalopathy
Hypercarbia • Infectious ... neuronitis, CNS abscess ... • Neurologic: ... Todd Paralysis), Brain ... Tumor, Traumatic Brain
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
Tumor, Traumatic brain ... injury • Infectious ... Encephalitis, Brain ... Abscess, Toxoplasmosis ... Algorithm #Causes #neurology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
splenomegaly Other infections ... multiple lesions Infectious ... Syphilis • Pyogenic Abscess ... RingEnhancing #Lesions #Brain ... causes #radiology #neurology
Major Brain Complications of Endocarditis Abscess: • May be macro or micro and occur at site of
Major Brain Complications ... Endocarditis Abscess ... reaction to blood & infectious ... complications #brain ... #neurological #neurology
Neurological Manifestations of Tuberculosis Spinal Arachnoiditis & Polyradiculopathy: • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
Worsening of previous neurologic ... stroke Tuberculous Abscess ... contrast enhancement Brain ... and not direct infection ... differential #TB #neurology
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Blood cultures/serology ... valves • MRI brain ... common, Aortic root abscess ... often seen • MRI brain ... large infarct - Infectious
Spinal Epidural Abscess Overview Infection in the epidural space - often caused by bacteremia or direct spread
Spinal Epidural Abscess ... Overview Infection ... lead to permanent neurologic ... Diagnostics and Treatment ... Spinal #Epidural #Abscess
IDSA Recommendations for Treating Coccidiodomycosis in HIV-AIDS Treating Mild Infections (Such As Focal Pneumonia or asymptomatic patients
Treating Mild Infections ... with positive serology ... Bone or Joint Infections ... IDSA #Prevention #Treatment ... #HIVAIDS #pharmacology
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... vasculitis vs infection ... of the steroid treatment ... Treatment of GCA ... required +/- prompt ophthalmology
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