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clinical ultrasound diagnosis echocardiogram differential cardiology renal rheumatology lupus management algorithm classification hydronephrosis neck pulmonary vasculitis abdominal s4c ventricular constrictive
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
10% of all lupus cases ... myalgia, serositis, Kidney ... 90% - Low complement ... Discontinuation of causal ... 80% - Low complement
Rapidly Progressive Glomerulonephritis (RPGN) RPGN has three primary pathophysiologic causes differentiated by immunofluorescence Immune Complex Mediated (granular staining):
pathophysiologic causes ... staining): • Low Complement ... Idiopathic • Normal Complement ... • Limited to Kidney
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Erythematosus (SLE ... are evocative of SLE ... Positive in 60-80% of cases ... 80% - Low complement ... management of SLE
Renal Infarction on POCUS An illustrative case of renal infarction: Note that there is almost no color
Infarction on POCUS ... An illustrative case ... upper half of the kidney ... See https://nephropocus.com ... Renal #Infarction #POCUS
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 Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... - Most common cause ... changes, chronic kidney ... parachute MV (caused ... leaflets/chordae) - SLE
Causes of Pelvic Mass - Differential Diagnosis Algorithm Gastrointestinal: • Appendiceal abscess • Diverticular abscess • Diverticulosis
Causes of Pelvic ... cancer • Pelvic kidney ... Hydrosalpinx Ovary: • See ... Diagnosis #Algorithm #Causes
Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
Bacteremia, Sepsis • Kidneys ... body-), PMR, RA, SLE ... Differential #Diagnosis #causes
Causes of Hypokalemia Hypokalemia results from abnormal losses, transcellular shifts, or insufficient intake (Table 1).6–8 Abnormal losses
Causes of Hypokalemia ... .9 Because the kidney ... is rarely the sole ... cause of hypokalemia ... #Differential #Causes
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 SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
anti-Smith Ab, low complements ... RNP antibodies, Complement ... C4) • ds-DNA: Kidney ... • Kidney biopsy ... SSA can rule in SLE
Causes of ileitis beyond Crohn’s disease and infections include systemic disorders -spondyloarthropathies, vasculitides, ischemia, and amyloidosis
Causes of ileitis ... See below for table ... helpful paper complements
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