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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Causes of Orthopnea - Differential Diagnosis Framework

 • Fear and Anxiety
 • Pleural Effusion
 • Ascites
of Orthopnea - Differential ... Noncardiogenic pulmonary ... manipulation - CNS ... MS, Polio - PNS ... #Orthopnea #Differential
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
HIV / AIDS - Differential ... status, and focal neurologic ... confusion, and focal neurologic ... #Infections #differential ... InfectiousDiseases #Neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... disorder (Cardiac, pulmonary ... etc) • CNS -> ... #Weakness #Differential ... #Diagnosis #neurology
Differential Diagnosis for Transient Confusion -  6 S Approach:

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

#AMS
Differential Diagnosis ... Transient #confusion #differential ... #diagnosis #neurology
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
nervous system (CNS ... BEE #Syndromes #neurology ... #inflammatory #differential
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Dilated Pupil - Differential ... Dilated #Pupil #differential ... #diagnosis #neurology
Pupils: Localization in Coma
 • Small, Reactive pupils: Metabolic coma.
 • Unilateral Fixed, dilated pupil :
Localization #Coma #Neurology ... #differential #
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... Bacterial Meningitis - Differential ... Singh @rav7ks #CNS ... #Infections #differential ... #diagnosis #neurology
Paraproteinemias

Entities That Can Feature A Monoclonal Protein/M Component:
• MM
• WM
• MGUS
• MGCS
• MGRS
• Splenic Marginal Zone
et diutinum Neurologic ... Scleromyxedema (CNS ... +GI+CVS+joints) ... +PNS+GI+Endocrine ... Hematology #Monoclonal #Differential
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
skin injury) • Neurologic ... basal ganglia, CNS ... meningitis), MCC CNS ... Behcet disease) Differential ... Syndrome #diagnosis #management