8 results
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
are smaller and fewer ... The pulmonary vascular ... increased width of the vascular ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... , dyspnea, +/- CXR ... - 80% have fever ... WBC >100k, + lab signs ... diagnosis #management #hematology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
noninflammatory Signs ... weeks) Can Be Caused ... - Autoimmune Rheumatologic ... • Rheumatic fever ... streptococci (rheumatic fever
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis: • Fevers ... purpura: Strong sign ... pulse deficits vascular ... tract, and often causes ... Differential #Diagnosis #Rheumatology
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
chest (in a V-sign ... Inverse Gottron’s sign ... Dermatomyositis • Fever ... • Arthralgia/arthritis ... Dermatomyositis #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
tract, and often causes ... Coronary arteries - Fever ... Vasculitis: • Fevers ... Night sweats • Arthralgias ... purpura: strong sign
Acute Recurrent Pericarditis
= recurrence of Acute Pericarditis (AP) after free interval >4-6 weeks without symptoms, >1/4
symptoms, >1/4 of AP cases ... RED FLAGS: Fever ... eosinophilia. arthralgia ... management #treatment #rheumatology ... #cardiology
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
papules and Gottron sign ... ) • Shawl sign ... Overlap Syndrome: Fever ... ANTI-SYNTHETASE SYNDROME: • Fever ... statins - probably caused