Sandbox:Parul: Difference between revisions
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pan-[[Paranasal sinus|paranasal]] [[sinusitis]]. | pan-[[Paranasal sinus|paranasal]] [[sinusitis]]. | ||
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|2. | |2. 74-year old man in France presented with confusion and influenza-like illness<ref name="ZayetKlopfenstein2020">{{cite journal|last1=Zayet|first1=Souheil|last2=Klopfenstein|first2=Timothée|last3=Kovẚcs|first3=Róbert|last4=Stancescu|first4=Silviu|last5=Hagenkötter|first5=Beate|title=Acute Cerebral Stroke with Multiple Infarctions and COVID-19, France, 2020|journal=Emerging Infectious Diseases|volume=26|issue=9|year=2020|issn=1080-6040|doi=10.3201/eid2609.201791}}</ref> | ||
|[[Flu]] like [[Symptom|symptoms]] | |[[Flu]] like [[Symptom|symptoms]] | ||
|[[Headache]], [[nausea]], [[dizziness]], and | |[[Headache]], [[nausea]], [[dizziness]], and | ||
Revision as of 05:38, 12 July 2020
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University Education
University Education
Syncope is classified yo three categories:
- Vasovagal
- Neurogenic
- Cardiovascular.
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| DDx of syncope | ||||
|---|---|---|---|---|
| Patient | Past Medical History | Later presentation | GCS | Lab. Findings | Specific Tests | Imaging studies | ||
|---|---|---|---|---|---|---|---|---|
| CBC | CSF | MRI/CT scan | ||||||
| 1. 84 year old man from France presented with dyspnea and cough[1] | Diabetes Mellitus, | Worsening headache, Sore throat. (Day 5)
Impaired consciousness and transient generalized seizure, (Day 9) |
E4V1M1 | ↑WBCs and neutrophils ↓lymphocytes ↑ CRP |
Clear and colorless fluid,
Pressure=320 mmH2O, Cell count was 12/μL–10 |
RT-PCR for SARS-CoV-2 was positive in nasopharyngeal swab | Brain MRI:
Hyperintensity in the right lateral ventricle's inferior horn along the wall, | |
| 2. 74-year old man in France presented with confusion and influenza-like illness[1] | Flu like symptoms | Headache, nausea, dizziness, and
drug-refractory seizures. |
E4V5M6 | NA | NA | RT-PCR and antibody tests positive | Brain MRI: Hyperintensity in the left temporal lobe.
MR Spectroscopy: Decrease N-acetyl aspartate peak along with a marked elevated choline peak. | |
| 3. 31-year-old African American woman[2] | SCD patient with dyspnea | Paralysis and sedation (Day 13)
Comatose (Day 15) and death (Day 16) |
E0V0M0 | NA | Pressure=30cmH2O
115 nucleated cell /ml 7374 erythrocytes /ml Protein> 200mg/dl
|
RT=PCR for SARS-CoV-2 was positive in nasopharyngeal swab | Brain MRI: Nonenhancing cerebral edema and restricted diffusion in the right cerebral hemisphere with brain herniation. | |
- ↑ 1.0 1.1 Zayet, Souheil; Klopfenstein, Timothée; Kovẚcs, Róbert; Stancescu, Silviu; Hagenkötter, Beate (2020). "Acute Cerebral Stroke with Multiple Infarctions and COVID-19, France, 2020". Emerging Infectious Diseases. 26 (9). doi:10.3201/eid2609.201791. ISSN 1080-6040.
- ↑ Benameur K, Agarwal A, Auld SC, Butters MP, Webster AS, Ozturk T; et al. (2020). "Encephalopathy and Encephalitis Associated with Cerebrospinal Fluid Cytokine Alterations and Coronavirus Disease, Atlanta, Georgia, USA, 2020". Emerg Infect Dis. 26 (9). doi:10.3201/eid2609.202122. PMID 32487282 Check
|pmid=value (help).