121 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... • Labs: CBC, cr ... , anti-CCP • CXR ... infiltrates) → high ... differential #diagnosis #nephrology
Causes of Hemoptysis - Differential Diagnosis Algorithm
Massive Hemoptysis (>I00 mL in 24 hours)
 • Malignancy
 •
Malformation Normal CXR ... Abnormalities • CHF ... Bronchiectasis • Pulmonary ... Goodpasture's Syndrome ... Vascular • Pulmonary
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
most common) Clinical ... production • Night ... sweats, weight ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm Syndrome ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... • Nephrotic syndrome ... Reduced GFR, AKI/CRF
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm Syndrome ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... • Nephrotic syndrome ... Reduced GFR, AKI/CRF
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Differentiation Syndrome ... common • Imaging: CXR ... - pulmonary opacities ... sepsis), PE, DAH, CHF ... Differentiation #Syndrome
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Focal findings on neurologic ... electrolytes, CXR ... UA), Advanced (might ... cranial CT, ABG, CSF
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... during a period of CHF ... (right). ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Refeeding Syndrome: Pathogenesis and clinical findings

Patients at Risk of Refeeding Syndrome:
 - Little or no nutritional
Refeeding Syndrome ... Pathogenesis and clinical ... - Significant weight ... overload -> - CHF ... - Pulmonary
MRI Brain Sequence Comparison: T1 vs T2 vs FLAIR
T1:
 - CSF is Dark
 - Grey Matter
vs FLAIR T1: - CSF ... is White T2: - CSF ... is Bright - Grey ... Brain #Comparison #clinical ... radiology #diagnosis #neurology