18 results
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad ... Hantavirus • Malignant ... Pulmonary: pleural effusion ... • Ocular: uveitis ... management #treatment #rheumatology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(LV thrombus, LAA ... Paradoxical: Right to Left ... non-culprit vessels • Atrial ... rheumatic valve disease ... prosthetic valve, PFO, ASD
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
incomplete Kawasaki Disease ... 1. ... recommendations 2. ... regurgitation, pericardial effusion ... or RCA of 2–2.5
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... sinus rhythm... 1. ... idiopathic. 2. ... #atrium #a4c #Echocardiogram ... #clinical #cardiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
intrinsic lung disease ... defect (Type 1) ... anatomic shunt (Type 2) ... Clinical Presentation ... Microbubbles appear in left
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Rheumatic Heart Disease ... (1) Thickened ... (2) Lvef 25-30% ... by the LAA appears ... (7) patient in atrial
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... Infections • Malignancy ... Lungs: • Pleural effusions ... • ANA titers > 1: ... , anti-Jo-1, SCL
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
end-stage liver disease ... 1. ... as atrial septum ... shifts left ... #clinical #pocus
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
Into Two Types: 1. ... Primary (essential) 2. ... Disorders: • Malignancy ... pulmonary emboli, and ocular ... Cryofibrinogenemia #diagnosis #rheumatology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Seizures - Malignant ... - Neuroleptic malignant ... Dermatomyositis Clinical ... Features: • Triad ... of underlying disease