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management differential treatment rheumatology syndrome cardiology radiology endocarditis hepatology hepatopulmonary infectiousdiseases lung pocus 1: 2 a4c acidosis acromegaly adultonset amiodarone
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... shunt (Type 2) Clinical ... , 88% spec • Contrast-enhanced ... cirrhosis • Intra-pulmonary ... scanning or pulmonary
Adult-Onset Still's Disease Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia + Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... Hantavirus • Malignant ... hepatitis • Pulmonary ... : pleural effusion ... • Ocular: uveitis
Split Pleura Sign on Chest CT • Contrast enhancement of the parietal and visceral pleura, separated
on Chest CT • Contrast ... DDx: Empyema, malignant ... Sign #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
o infection • Echocardiogram ... LVEF, pericardial effusion ... Goodpasture's cause ... blood retum in serial ... hematuria, RBC casts
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Small secundum ASD ... #cardiology #clinical ... #echocardiogram
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 Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
canoeing, kayaking, trail ... : conjunctival suffusion ... non-productive cough, nausea ... failure • Severe pulmonary ... Epidemiologic exposure + clinical
Pulmonary complications of targeted therapy -Immune checkpoint inhibitors (e.g. pembrolizumab) -Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... infection and malignancy-associated ... There are case reports ... of pleural effusion ... #Clinical #Diagnosis
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
with CTD, drugs, malignancy ... Unknown • 6-7 cases ... Organizing Pneumonia - Clinical ... Rare: pleural effusions ... #ILD #diagnosis
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... of lactate as a clinical ... drugs, seizures, malignancy ... output - Acute pulmonary ... ’s • Reduced Arterial
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
GrepMed Handbook Clinical ... colon (↑polyps & malignancy ... to CVD & colon malignancy ... Pituitary MRI+contrast ... or refractory cases
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