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diagnosis dermatology differential rheumatology management rash causes celiac dress erythematous evaluation febrile gastroenterology gluten nikolsky nonpalpable palpable perioperative petechiae petechial
Erythematous Rashes - THE ALGORITHMIC APPROACH Characterized by diffuse redness of the skin due to capillary congestion, erythematous
Erythematous Rashes - THE ALGORITHMIC ... redness of the skin ... substantially, usually to TEN ... includes Kawasaki disease ... #Diagnosis #Dermatology
Purpura - Differential Diagnosis Framework Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
purple, hemorrhagic skin ... vascular disorders, coagulation ... Platelet defects • Coagulation ... Kasabach-Merritt syndrome Coagulation ... mountain spotted fever
Thromboelastography (trademarked as TEG) • Graphical representation of the fibrin polymerization process • Point-of-care anti-coagulation monitoring
trademarked as TEG ... Point-of-care anti-coagulation ... routine transfusion algorithms ... #interpretation ... #hematology
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Differential Diagnosis Algorithm ... Red Flags: • Fever ... Complete blood count coagulation ... cryoglobulins • Skin ... #Causes #dermatology
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Definition: • Severe adverse drug reaction, characterized by
characterized by extensive skin ... Fever >38.5 2. ... Skin involvement ... reaction • SJS/TEN ... withdrawal • Mild disease
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis: • Fevers ... and branches • Fever ... arthralgia, arm/leg ... Coronary arteries • Fever ... Differential #Diagnosis #Rheumatology
Celiac Disease Testing Algorithm INDICATIONS FOR TESTING: Nonspecific symptoms (iron-deficiency anemia, failure to thrive, fever, skin
Celiac Disease Testing ... Algorithm INDICATIONS ... failure to thrive, fever ... , skin rash, and ... #Testing #Algorithm
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Key Components: ... or family - Ever ... physical exam - Key components ... Pulmonary exam - Skin ... event, follow ACC algorithm
Relapsing Polychondritis What is it? Recurrent inflammation of the cartilage in the body (Autoimmune disorder) Who? • Most frequently: 40
Nonspecific symptoms: Fever ... connective tissue components ... • Inner ear • Skin ... immunologically mediated diseases ... Sarcoidosis • Behcet disease
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