11 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
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... sinus rhythm... 1. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #clinical #cardiology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Rheumatic Heart Disease ... (1) Thickened ... by the LAA appears ... (7) patient in atrial ... #a4c #thrombus
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
intrinsic lung disease ... defect (Type 1) ... shunt (Type 2) Clinical ... Microbubbles appear in left ... blood gas (ABC)
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
end-stage liver disease ... as atrial septum ... shifts left ... #clinical #pocus ... #a4c #intrapulmonary
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
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... Small secundum ASD ... or PFO with left ... Diagnosis #cardiology #clinical ... #echocardiogram
Cryofibrinogenemia Summary

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

Cryofibrinogenemia:
 • The precipitation of a
Into Two Types: 1. ... Disorders: • Malignancy ... pulmonary emboli, and ocular ... Diagnosis: • + Clinical ... Cryofibrinogenemia #diagnosis #rheumatology
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
gland) biopsy • Ocular ... salivary ducts Clinical ... thickening or effusion ... and Arthritis Malignancy ... Sjogrens #Syndrome #Rheumatology
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Clinical suspicion ... the extent of disease ... Persistent pleural effusions ... Testing: • EKG • Echocardiogram ... disproportionate atrial