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diagnosis lupus rheumatology differential criticalcare causes erythematosus systemic treatment druginduced insufficiency overview table acidosis cardiology checklist chf comparison cosyntropin crisis
An Algorithm for the Evaluation and Management of Adrenal Insufficiency and Crisis #adrenal #insufficiency #crisis #shock #ddxof
An Algorithm for ... the Evaluation ... and Management of ... insufficiency #crisis #shock ... #ddxof #algorithm
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Diagnosis and Management ... 40, F:M 9:1 • Clinical ... 80% - Low complement ... Usual therapeutic management ... of SLE • Evolution
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
to 1:1 F:M • Clinical ... 90% - Low complement ... 40, F:M 9:1 • Clinical ... 80% - Low complement ... of SLE • Evolution
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... Clinical features ... - Hypotension, shock ... Diagnostic findings (see ... algorithm): -
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... depressed) • Renal ... #Classification ... #diagnosis #management ... differential #causes #classification
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... depressed) • Renal ... #Classification ... #diagnosis #management ... differential #causes #classification
Management of Lupus Nephritis Lupus nephritis (LN) in 10 to 40% of SLE Hallmark = proteinuria 20.5 g/g
in 10 to 40% of SLE ... or 0.5 g/day → renal ... histological evaluation ... severity (ISN/RPS classification ... by 12 months Classification
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus Clinical Domains: • Constitutional domain: Fever • Cutaneous domain: Non-scarring
EULAR/ACR Classification ... Erythematosus Clinical ... hemolysis • Renal ... anticoagulant • Complement ... #Criteria #SLE
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
pomagnesemia Evaluation ... incongruous with clinical ... NPO, or profound shock ... Internet Book of Critical ... #Hypokalemia #Management
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... anti-Smith Ab, low complements ... Skin Disease Classification ... APLA/LAC: • Renal ... RNP antibodies, Complement
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