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The pathogenesis of idiopathic pulmonary fibrosis. 1 – In an initiating phase, there is lung alveolar
vessels and neo-angiogenesis ... #IPF #Pathophysiology
#Angiogenesis
#Angiogenesis
Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
lung disease; IPF ... pneumonitis #IPF
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
enlargement - If ... stimulates liver IGF ... Workup: • Serum IGF ... variable - If ... IGF-1 equivocal
More common & convincing pneumonia mimics 

Aspiration pneumonitis, 
Pulmonary vasculitis, 
Acute eosinophilic pneummia,  
Cryptogeric organizing
pulmonary fibrosis (IPF
Gastrointestinal Stromal Tumor (GIST)
Most prevalent intramural gastric tumor
Arises from interstitial cells Of (EUS layer 4)
Has higher
> 5 mitoses/50 HPF ... > 5 mitoses/50 HPF ... Treatment: • If ... band ligation • If ... > 5 mitoses/50 HPF
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
: • Urinary (if ... often with saline IVF
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Urinalysis >3 RBCs/HPF ... to Nephrology if
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
, stones), CTA if ... Management: • IVF ... consider epidural if ... , consider NGT if ... ERCP (w/in 24h) if
Management of patients with known or suspected malignant pleural effusion (MPE) - An Official ATS/STS/STR Clinical
not be necessary if ... pleural catheter (IPC ... is recommended if