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Carolinas Case Conference - Dr. Beverly

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Cryptococcal Meningitis:
  • Opportunistic infection in HIV/AIDS patients
  • Symptoms can be vague but most commonly present with fever, neck stiffness, headache and altered mental status
  • Diagnosis is by lumbar puncture; if you are thinking about this, treat properly and treat fast
  • Mainstay of treatment is with Amphotericin B and Flucytosine

Ebstein's Anomaly:
  • Congenital malformation characterized by abnormalities of tricuspid valve and right ventricle
  • 1 in 20,000 live births; No predilection for either gender
  • Chronic hypoxemia leads to changes in blood vessel function and structure
  • These changes are likely maladaptive and may increase risk for thrombotic events



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