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diagnosis clinical differential symptoms dermatomyositis syndrome systemic autoimmune dermatology erythematosus gout lupus myositis ultrasound vasculitis workup a4c anesthesia anesthesiology antimda5
Cutaneous and Systemic Findings in Dermatomyositis Cutaneous Findings: - Heliotrope sign and edema - Nail-fold changes -
- Heliotrope sign ... or shawl sign ... - Gottron's sign ... scale - Holster sign ... Dermatomyositis #Diagnosis #Rheumatology
Autoimmune Myositis Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
heliotrope rash, Shaw sign ... , holster sign, ... Can also see mechanics ... Myositis #diagnosis #rheumatology
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Systemic Lupus (SLE ... effusion, Restrictive lung ... Thrombocytopenia #Lupus #SLE ... erythematosus #signs ... symptoms #diagnosis #rheumatology
Systemic Lupus Erythematosus - Diagnosis Manifestations: - Arthritis 69% - Malar rash 40% - Fever 36% -
Myositis 4% - Lung ... involvement 3% SLE-Related ... Lupusreference #SLE ... autoantibodies #signs ... #differential #rheumatology
Metatarsal Gout on POCUS Painful and swollen 1st metatarsal. Double contour sign. Diagnosis? Gout. Global Ultrasound Institute
Metatarsal Gout on POCUS ... Double contour sign ... Gout #Metatarsal #POCUS ... #clinical #rheumatology
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 ANTI-MDA5 DERMATOMYOSITIS Cutaneous manifestations: • Periorbital heliotrope (blue-purple) rash with edema • Erythematous rash on the face, or the
chest (in a V-sign ... shoulders (in a shawl sign ... Inverse Gottron’s sign ... anti-NXP2 Abs Lung ... Dermatomyositis #rheumatology
Dreaded lung pulse of right main stem intubation. Clearly see pleura and static comet tails - Dr.
Dreaded lung pulse ... Clearly see pleura ... Medicine #Clinical #POCUS ... LungPulse #CometTails #Sign
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 TIE Fighter Sign on POCUS - Uterus floating in pelvic ascites Not uncommon during nephrology rounds in
TIE Fighter Sign ... on POCUS - Uterus ... Note in long axis ... #TIEFighter #Sign ... clinical #ascites #pelvis
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 Pediatric Trauma Primary Survey: C-ABCDE C - Catastrophic Bleeding - Life-threatening hemorrhage • Apply direct pressure/compression bandage
Apnea/poor effort, Signs ... Binder) • Use POCUS ... ↓ BP is a late sign ... normalized vital signs ... Survey #CABCDE #management
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
She had gained 15 ... ASA, Kussmaul's sign ... edema, and clear lungs ... Echocardiogram #a4c #pocus
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