26 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
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
Systemic Sclerosis ... calcinosis • Pulmonary ... disease), PAH (pulmonary ... Scleroderma #SSc #rheumatology ... symptoms #testing #workup
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Immune Complex: Systemic ... Rheumatoid arthritis, Systemic ... 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
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 ... solid cancers • Systemic ... hepatitis • Pulmonary ... management #treatment #rheumatology
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
rendering the immune system ... Lymphocytosis on CBC ... ’s CLL Scoring system ... Leukemia #diagnosis #workup ... #oncology #hematology
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Syndrome Treatment
Stop offending agents:
 • List as allergies
Eosinophilia and Systemic ... Steroids for severe systemic ... monitoring: • CBC ... LFTs daily • Cr ... Treatment #Management #dermatology
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