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management differential ddxof arthritis b12 bloodsmear borrelia cell coagulation cobalamin comparison deficiency dic disseminated druginduced endocrinology euvolemic gravis hematology hematuria
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
Algorithm and Differential ... Diagnosis of Macroscopic ... RBC’s, RBC/WBC casts ... intrinsic renal disease ... #EM #IM #Urology
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
Differential Diagnosis ... symptoms (HA, nausea ... , liver, renal disease ... #EM #IM #Nephro ... #Differential #Algorithm
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
- Differential Diagnosis ... Algorithm Normal ... • Cushing's Disease ... Panhypopituitarism Treatment ... #causes #pediatrics
Septic Arthritis - Diagnosis and Management Summary Clinical Exam: hot, swollen, pain with passive AND active ROM
Management Summary Clinical ... necrosis, Lyme disease ... Treatment: admission ... 90% sensitive in pediatrics ... MH/CCF/CWRU EM
Myasthenia Gravis - Summary • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
: • Based on clinical ... More likely to cause ... glucocorticoids - can cause ... - Improves clinical ... Hospital of Baltimore IM
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
to 1:1 F:M • Clinical ... Discontinuation of causal ... 40, F:M 9:1 • Clinical ... Evolution: Chronic disease ... #rheumatology #diagnosis
Evaluation of suspected incomplete Kawasaki Disease 1. AHA consensus recommendations 2. Infants ≤6 months old on day ≥7
incomplete Kawasaki Disease ... echo is positive, treatment ... #Diagnosis #Peds ... #Pediatrics #Kawasaki ... #Algorithm
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
organ damage Clinical ... • Severe Liver Disease ... Treat primary cause ... #Coagulation #diagnosis ... #causes #treatment
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
LBRF can be diagnosed ... or PenG 800K U IM ... initiation of treatment ... Infectious Diseases ... microscopy #pathology #clinical
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... intrinsic factor, IF) Clinical ... to IBD, celiac disease ... Check for IF ab Treatment ... , can consider IM
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