Ravi Singh K @rav7ks
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Academic Hospitalist and Program Director @SinaiBmoreIMRes, Medicine clerkship director GW School of Medicine and Health Sciences RMC at Sinai, Clinical reasoning,Simulation and POCUS enthusiast - https://twitter.com/rav7ks
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Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
skin injury) • Neurologic ... Behcet disease) Differential ... inhibitors • Uveitis- Ophthalmology ... Syndrome #diagnosis #management
Differential Diagnosis for Transient Confusion -  6 S Approach:

• Sugar
• Syncope
• Seizure
• Stroke
• Substances
• Sleepiness

#AMS
Differential Diagnosis ... Transient #confusion #differential ... #diagnosis #neurology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Dilated Pupil - Differential ... Dilated #Pupil #differential ... #diagnosis #neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... Neurogenic Ptosis - Neurologic ... Syndrome #Ptosis #neurology ... #Differential # ... Diagnosis #ophthalmology
Pupils: Localization in Coma
 • Small, Reactive pupils: Metabolic coma.
 • Unilateral Fixed, dilated pupil :
Localization #Coma #Neurology ... #differential #
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
and Headache - Differential ... Photophobia #Headache #differential ... #diagnosis #ophthalmology ... #Neurology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis and Miosis - Differential ... Mydriasis #Miosis #differential ... #diagnosis #ophthalmology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... aminotransferases • Serology ... #Weakness #Differential ... #Diagnosis #neurology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... #Hematuria #Differential ... Diagnosis #causes #urology ... #nephrology #renal
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... culture or by serology ... Good indicator to differentiate ... CNS #Infections #differential ... #diagnosis #neurology