54 results
Acute Rheumatic Fever: Pathogenesis and Clinical Findings

Delayed autoimmune reaction
-> Molecular mimicry
-> GAS antigen cross-reacts with host
->
Acute Rheumatic Fever ... inflammation • Fever ... • Arthralgia ... Pancarditis and valvular ... pathophysiology #diagnosis #signs
Lyme Disease: Early and Late Clinical manifestations
Stage 1. Localized
 • EM appears 7-14 days at the
Fatigue, myalgia, arthralgia ... , headache, fever ... • Heralded by neurologic ... Remitting, chronic • Neurologic ... Disease #diagnosis #signs
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Differential Diagnosis Algorithm ... Dysfunction - Imbalance, neurologic ... symptoms/signs, ... Glomus Tumors - Vascular ... Dizziness #Vertigo #Neurology
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
caused by Borrelia ... TBRF is caused by ... include myalgias/arthralgias ... Treatment is tetracycline ... initiation of treatment
Adult Onset Still's Disease
Systemic inflammation with urticarial rash.
Rash: 
 • Nonpruritic, evanescent (correlates with time of
• Arthritis, arthralgias ... Arthralgias or arthritis ... A nonpruritic macular ... Treatment - Mild ... : NSAIDS Treatment
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... triad (<10%): fever ... sterile pyuria, WBC casts ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad: Fever ... , Arthralgia/arthritis ... abnormalities • Muscular ... diagnosis #management #treatment
Abdominal Aortic Aneurysm (AAA) Management and Surveillance

- Screening should be considered for more than just men
just men > 65 who ever ... Management #Aorta #Vascular ... #Treatment #Algorithm
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• CT: Halo sign ... Legionella: • Nausea ... factor • May cause ... reported in 100% of cases ... ), anemia, arthralgia
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... • Exercise • Fever ... #Proteinuria #Nephrology ... Differential #Diagnosis #Algorithm ... #Causes