27 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... Pneumothorax • Pulmonary ... rupture Initial workup ... ultrasound • CXR ... • CBC, BMP, LET
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Syndrome Definition ... Investigations • Labs: CBC ... , cr, ESR, CRP ... , anti-CCP • CXR
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
- No other workup ... cancer screening, CBC ... , aPTT, +/- CXR ... Hypercoagulable #Workup ... #hematology #diagnosis
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... STAT Labs (BMP, CBC ... Troponin), ABG, STAT CXR
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... • CD4 < 200: CMV ... • CD4 < 200: Pulmonary ... Evaluation: Imaging (CXR ... Infections #HIVAIDS #workup
Chronic Lymphocytic Leukemia - Summary

Cancer affecting lymphocytes/Mature B cell neoplasm
 • Lymphocytes accumulate in large numbers
Lymphocytosis on CBC ... • Richter’s Syndrome ... leukemia • Sezary syndrome ... Leukemia #diagnosis #workup ... #oncology #hematology
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
AECOPD) Obtain workup ... comorbidities: • CBC ... ventilated • CXR ... Exacerbation #treatment #pulmonary
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's ... HBV, Coxsackie, CMV ... hepatitis • Pulmonary ... management #treatment #rheumatology
Multiple Myeloma and Monoclonal Gammopathies
C - HyperCalcemia- calcium > 11 mg/dL / >1 mg/dL the ULN
R
Renal disease - Cr ... >2 mg/dL or CC ... M spike: • CML ... plasmacytoma, POEMs syndrome ... MGUS #diagnosis #hematology
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis
 • Infection: Extrapulmonary tuberculosis, Abscess, Endocarditis,
Lemierre's syndrome ... Q fever, EBV, CMV ... Malignancy: - Hematologic ... , Sarcoidosis, Adult