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diagnosis treatment algorithm infectiousdiseases causes radiology acute chronic cxr endocarditis fibrillation hypoxemia hypoxia lung renal rheumatology syndrome aa abscess adultonset
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... exercise intolerance, chest ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Highlighted Conditions With Arteritis or Periarteritis of the Coronaries Takayasu's arteritis: - Onset < 40 yrs -
sinusitis - pulmonary ... pancreatitis Erdheim-Chester ... disease: - Bone ... Coronaries #Arteritis #Differential ... #Diagnosis #Cardiology
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
appearances of pulmonary ... tuberculosis Infectious ... #diseases #differential ... #diagnosis #chestCT ... #radiology
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... allopurinol), Infection ... high resolution chest ... Bronchoscopy with serial ... DAH, rule out infection
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Miliary Pattern - Chest ... hematogenous spread of a disease ... Opacities: • Infectious ... #Radiology #differential ... #diagnosis #pulmonary
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS ... Weakness, Loss of Chest ... Elasticity (flail chest ... Gradient #alveolar #arterial ... #hypoxemia #differential
Right-Sided Heart Failure - Differential Diagnosis Algorithm Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... • Chronic Lung Infection ... Arterial Hypertension ... #HeartFailure #Cardiology ... #Differential #
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Rapid Response Management ... asthma • Pleural disease ... Hypoventilation: • CNS ... MG, ALS) • ↓ chest ... Hypoxemia #Hypoxia #differential
Adult-Onset Still's Disease Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia + Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad ... fraction < 20% Differential ... Diaqnoses: • Infectious ... hepatitis • Pulmonary ... #diagnosis #management
Esophageal Crohn's Disease Management Algorithm Assess for Active Symptoms and for Stricturing/Fistulizing Disease Stricturing DX: • Bx r/o
Management Algorithm ... • Serial Dilation ... Fistulizing DX: • Chest ... Fistula: Consult CTS ... #Management #Algorithm
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