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differential hematology systemic dermatology gastroenterology generalized hepatology management primary pruritus abdominal bileduct biliary boop cryptogenic dilatation dilated erythematosus ild lad
The 6 C’s of Primary Sclerosing Cholangitis (PSC) PSC is a chronic, cholestatic, immune-mediated disease characterized by
(PSC) PSC is a ... chronic, cholestatic ... asymptomatic at diagnosis ... • COLITIS - PSC-IBD ... judicious use of ERCP
Causes of Diffuse Lymphadenopathy - Differential Diagnosis Algorithm Reactive: - Systemic Inflammatory •
Causes of Diffuse ... Algorithm Reactive ... Age > 50 • Chronic ... Lymphocytic Leukemia (CBC ... #Algorithm #Causes
Causes of Biliary Dilatation - Differential Diagnosis • Physiological: ↑ Age, Cholecystectomy, Opioid dependence, Post-sphincterotomy •
Causes of Biliary ... Inflammatory: Chronic ... pancreatitis, PSC ... (or secondary SC ... ), IgG4, Post-op
Causes of Thrombocytosis - Differential Diagnosis Algorithm Spurious: • Artifact (redo CBC) Autonomous: • Essential thrombocytosis • Polycythemia
Causes of Thrombocytosis ... Algorithm Spurious ... Artifact (redo CBC ... Damage: • Post-op ... #Algorithm #Causes
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
• Secondary OP ... Unknown • 6-7 cases ... to order: • CBC ... organizing pneumonia, Chronic ... Pulmonary lymphoma, Diffuse
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
and Primary Causes ... Creatinine & BUN: • Chronic ... Hyperthyroidism CBC ... Pruritus #primary #secondary ... #Algorithm #causes
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Diagnosis Framework ... did not yield a diagnosis ... dysfunction • PSC ... Ovarian CA Diffuse ... #Diagnosis #gastroenterology
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Algorithm Blood ... Creatinine & BUN: • Chronic ... Hyperthyroidism CBC ... #Pruritus #secondary ... #Algorithm #causes
Polycythemia - Differential Diagnosis Algorithm Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Algorithm Polycythemia ... an underlying cause ... else is driving RBC ... normal/high - Chronic ... #Algorithm #workup
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Differential Diagnosis ... pneumonitis • Diffuse ... Antiribosomal P, APLA, PAC ... titers > 1:80 • CBC ... with Lupus: • Chronic
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