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Retired NBME 24 Answers

nbme24/Block 3/Question#22 (reveal difficulty score)
A 32-year-old woman recently diagnosed with ...
Epstein-Barr virus-induced brain lymphoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neuro repeat AIDS

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 +7  upvote downvote
submitted by โˆ—lsmarshall(465)
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  • Lymphoma in patients with AIDS can take on many forms, but primary CNS lymphoma is common.

  • It often presents with seizures, lethargy, subacute memory loss, and headache. Physical examination may show neurologic deficits stemming from structural disruption caused by the location of the mass.

  • MRI will usually show a dominant cortical mass.

DDX * Multiple lesions distributed throughout the cortex would be atypical! --> HSV enceph or Toxo



 +2  upvote downvote
submitted by โˆ—krewfoo99(116)
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VBE vsiru enotiinfsc B .lelcs sA a reesnosp eetrh is avetreic iolsmpoysytch tloiariefpno(r fo 8DC+ iocxttcoy T sc)yoe.thmpLy In HVI, yuo lwil vaeh a raecdsee ni TH lcsle iegnadl to ecsrdeae in C8D T ls.elc sThu BVE iwll aoeprftrlei reom relyfe as hte mieumn orsspene staordw ti 8CD( e)llcs aer .neldutb ihsT si woh i ogt to eth nsraw.e

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