A fab 🧵 to help you get out of bed! 1/
6/21 - bit.ly/2TbybKM#cpsvmrpearls The Ddx for lymphocytic pleocytosis is divided into Infectious causes (bacterial, viral, parasitic, fungi) and Non-Infectious causes (Autoimmune and Malignancy)
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6/22- bit.ly/35Vi32L#cpsvmrpearls We usually think of neurocysticercosis -> seizure or HA w a circle & a dot/few dots on imaging, but there is a rare form called cysticercal encephalitis that is 1. more common in young girls 2. p/w miliary cysticercosis & AMS (1/2)
In these pts., remember to avoid anti-parasitic drugs which can cause fatal cerebral edema
Tx = steroids & AEDs (2/2)
3/ 6/23 - bit.ly/3x0OCbF#cpsvmrpearls Thrombocytopenia can be interpreted as an acute phase reactant, whereas thrombocytosis suggests chronic inflammation.
6/14 - bit.ly/3gR3UbQ#cpsvmrpearls Both TTP and HUS can p/w kidney injury + neurological Sx. To differentiate b/w them based on clinical Sx, remember that in TTP, the neuro Sx > renal Sx and in HUS, the renal Sx > neuro Sx
6/15 - bit.ly/3ql5IOU#cpsvmrpearls Consider CV & neuro causes when evaluating unwitnessed LOC. Presence & location of tongue bites can help differentiate b/w them: Bites on the a) lateral aspect of the tongue - seizure b) tip of the tongue - syncope c) lips/cheek - PNES
6/16 - bit.ly/35CthJt#cpsvmrpearls CNS involvement is infrequent in small & medium vessel vasculitis which commonly p/w << systemic manifestations, but when present, CNS involvement is a predictor of poor prognosis & indication for aggressive immunosuppressive Tx. (1/2)
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32F presents with fevers, chills, & malaise x 5 days. Pt is somnolent and accompanied by her husband who denies localizing symptoms.
VS T 39C BP 120/60 HR 100 RR 14 100% RA
2/ While the RN is out of the room, the telemetry alarms for V-tach. When the RN returns, the monitor shows sinus rhythm.
Husband reports that the patient appeared to yell out and then was shivering violently for ~2 minutes.
What in this telemetry strip suggests artifact?
3/ You notice that although at quick first glance, the morphology in lead I and II might resemble a wide complex rhythm, lead III shows sinus tachycardia.
Therefore the limb leads I and II are capturing artifact (probably from movement of the patient).