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management differential breathing clinical rheumatology vasculitis video abnormal abnormalities acquired alternating amiodarone bilateral bronchiectasis cap classification community encephalopathy enophthalmos exophthalmos
Platypnea-Orthodeoxia Syndrome on Physical Exam The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
patient with a diagnosis ... Symptoms occur when ... observe how the respiratory ... #PhysicalExam # ... #pulmonary
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 Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Neurological symptoms ... circulation: MCA ACA ... Constipation, Seizures, Stroke ... epilepticus Treatment ... underlying cause • Treatment
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation Symptoms ... • Mounier-Kuhn syndrome ... parenchyma Diagnosis ... mycobacteria Treatment ... #differential #diagnosis
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... Presentation: Systemic Symptoms ... Palpable purpura: Strong ... • Progressive symptoms ... upper and lower respiratory
Syphilis - Clinical Manifestations and Treatment 1) Primary Syphilis • Direct lesion contact during sex is responsible
Albuminuria, nephrotic syndrome ... meningovascular disease, or stroke ... ulcerated • MSK ... infected without symptoms ... Syphilis #stages #diagnosis
Abnormalities in Rate and Rhythm of Breathing Normal The respiratory rate is about 14—20 per min
Cheyne-Stokes Breathing ... hyperventilation syndrome—a ... Breathing #Patterns #Pulmonary ... Abnormalities #Abnormal #Diagnosis ... #PhysicalExam
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
Pneumonia (CAP) - Diagnosis ... Pneumonia Signs/Symptoms ... Severity Index (PSI) (strong ... #Management #treatment ... #Pulmonary #Community
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential Diagnosis ... upper and lower respiratory ... • Cogan Syndrome ... Presentation - Systemic Symptoms ... Palpable purpura: strong
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
starting amiodarone treatment ... toxicity (e.g., acute respiratory ... distress syndrome ... gradually with symptoms ... Improvement in symptoms
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam Observing this patient in silence for a
Patient underwent a diagnostic ... Treatments are aimed ... patient- bilateral symptoms ... The syndrome of ... #Respiratory #Variation
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