9 results
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... pedal edema, and clear ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... TMA • Cardiac: pericarditis ... • Ocular: uveitis ... #management #treatment ... #rheumatology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... Cardiac Disease: Pericarditis ... Behcet syndrome (Clinical ... #management #signs ... #symptoms #rheumatology
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
Constrictive Pericarditis ... was enough to diagnose ... and Kussmaul’s sign ... Echocardiogram #POCUS ... #clinical #cardiology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
mass and NO prior signs ... or clinical history ... Tendon Sheath - Nodular ... #Radiology #diagnosis ... #msk #rheumatology
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
in diagnosing cardiac ... for definitive management ... - MH/CCF/CWRU EM ... #clinical #ultrasound ... #trauma #cardiology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
pulmonary symptoms • Rheumatologic ... symptoms • Pericarditis ... has five major clinical ... osteoarticular, pulmonary, ocular ... #Management #Infections
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
chest (in a V-sign ... shoulders (in a shawl sign ... auricular papules Clinical ... Dermatomyositis #diagnosis ... #management #rheumatology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... Vital signs: BP ... This patient’s clinical ... exam findings and clinical