NBME 24 Epstein-Barr virus-induced brain lymphoma (NBME Answers)

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nbme24/Block 3/Question#22 (reveal difficulty score)
A 32-year-old woman recently diagnosed with ...
Epstein-Barr virus-induced brain lymphoma 🔍 / 📺 / 🌳 / 📖
tags: neuro repeat AIDS

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submitted by ∗lsmarshall(465)

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I ghhottu htis saw a irtkc iutqnsoe secin iskn eracscn are hte somt omcomn tyep of accenrs vlaero.l Btu lcyauatl namgo HIV sia,tenpt VHre-ltIead rcnecas aer cmuh rmeo mcnomo ntah e-VeoHI-tndnrla csraecn n(eev knis ec.rsnac) ndidVB-ceEu rrimpay CNS pmlmhyao is eth lnyo noptio atht is ieIfsAD-dingn elasnle/sic.ncr

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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

+/- namesthegame22(14)

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submitted by ∗krewfoo99(116)

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EBV iruvs iconetsnfi B ls.cle As a seeornps ehter is eacivter hoylosmctpyis iproln(iraeoft fo 8CD+ otctyciox T hpm.Ly)stcyoe In IHV, uoy illw heav a asreceed ni TH celsl gneidal ot reeaedcs in 8CD T l.lsce sTuh BVE iwll eaolirerptf erom feelry sa eth umenmi eseonpsr rawsotd ti D8C( c)lels rea ltnu.bde sihT si who i tog ot hte rw.nsea

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