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diagnosis cardiology management clinical echocardiogram rheumatology classification contrast ecg endocarditis giantcell treatment vasculitis 1: 2ndline atrium avr cryoglobulinemia cryoglobulins doubleshunt
Treatment of giant cell arteritis (GCA) 1st Line Strategy - GC 0.7 mg/kg/day, except for: • Aortitis
of giant cell arteritis ... (GCA) 1st Line ... MTX or TCZ in case ... vice-versa • >2 ... #GCA #Treatment
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Giant cell arteritis ... arteritis (GCA) ... sx will not be subtle ... very remarkable w/differential ... identifies 85 to 95% of cases
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
death. 2. ... Subepicardial atrial ... #electrocardiogram ... #diagnosis #ekg ... #differential #
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
- Differential ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
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 Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential ... often causes arthritis ... branches • GCA ... arterial aneurysms ... vasculitis) - 2
Cryoglobulinemia Summary Cryoglobulins: • Cryoglobulins are Igs in the serum that precipitate in vitro at temperatures below
• They can cause ... Cryoglobulins Cause ... Damage Through 2 ... Cryoglobulinemia) - 2. ... arthritis) •
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... Treat underlying cause
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
palpable purpura 2/ ... 2 vasculitis, ulcers ... recent DAN) • EMG ... Goodpasture's cause ... blood retum in serial
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... elevation seen > 2 ... voltage Other Causes ... #ekg #electrocardiogram
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
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