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diagnosis clinical rheumatology lupus management ultrasound aneurysm aortic cardiology differential echocardiogram erythematosus abdominal aorta appendage atrial classification clinicopathology clues comparison
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Erythematosus (SLE ... Age 20-40, F:M 9: ... are evocative of SLE ... Workup: - ANA ... Positive in 60-80% of cases
Top 10 situations when to think about lupus 1) Inflammatory joint pain (especially in the wrists and
7) Always in case ... and aPL) 9) Unexplained ... children (pediatric SLE ... lupus #diagnosis #sle ... #clues #system
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
Induced Lupus vs SLE ... Workup: - ANA ... Discontinuation of causal ... Age 20-40, F:M 9: ... Workup: - ANA
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup History: - Prior platelet count, family
Causes of Thrombocytopenia ... decreased PLT count: CBC ... function test, ANA ... (e.g., SLE), anti-phospholipid ... patients if the cause
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View Young Lupus patient admitted to hospital new onset HFpEF.
Pericarditis on POCUS ... What do you see ... could pinpoint the cause ... annulus e' velocity >9 ... Pericarditis #CP #POCUS
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 AAA Rupture on Abdominal POCUS Elderly female with back pain and hypotension. While sensitivity of ultrasound
AAA Rupture on Abdominal ... POCUS Elderly ... high, in this case ... hemorrhage is seen at 9 ... Rupture #Abdominal #POCUS
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 Giant Thoracic Aortic Aneurysm on POCUS CC: dizzy, short of breath Exam: loud murmur Even if "Exit" isn't one
Aortic Aneurysm on POCUS ... CC: dizzy, short ... See enough normal ... like this giant TAA ... #giant #POCUS #
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 Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tract, and often causes ... Lab Tests: • CBC ... LFT • ESR • ANA ... vasculitis, and SLE
Left Atrial Appendage Myxoma All that glitters is not gold. All mass in LAA is not clot.
All mass in LAA ... See extremely rare ... case of LAA myxoma ... Other tumors of LAA ... echocardiogram #pocus
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 Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Epidemiology: • F > M: 9: ... overlaps with RA, SLE ... Hypocomplementemia • Can cause ... /aggregate) of CD4 ... Xerostomia • Dental caries
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