11 results
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 • Epidemiology: -10% of all lupus cases, drug-dependent,
to 1:1 F:M • Clinical ... Constitutional symptoms ... • Evolution: Chronic ... druginduced #lupus #sle #comparison ... #rheumatology #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Typical symptoms ... : cough, abdominal ... *Chronic HFrEF may ... → no signs of CXR
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Clinical Features ... effusion, Restrictive lung ... valve lesions Abdominal ... erythematosus #signs #symptoms ... #diagnosis #rheumatology
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
) Differential diagnosis ... throughout the whole lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... to confirm the diagnosis ... attributed to chronic ... #Clinical #Radiology ... #CXR #UIP #Reticular
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
postpartum): • Initial symptoms ... nausea, vomiting, abdominal ... rapidly develops (DIC ... AP, ↑INR, ↑BUN/Cr ... Antithrombin Ill • Ultrasound
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Immunocompromised status • Chronic ... encounters due to NTM: Chronic ... gastrointestinal symptoms ... enzymes, diarrhea, abdominal ... • Clinical (Symptoms
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... granulomas within the lungs ... renal failure Clinical ... e.g. incidental CXR ... dyspnea, cough, chest
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
X-ray and lung ... ultrasound (exclude ... or TSH level if symptoms ... Pyridostigmine - New diagnosis ... 60 mg q6 - Chronic
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Ramzy, DO, EMT-P ... x-ray (CXR), try ... not seen on a CXR ... consider intra-abdominal ... #Lung #Pulmonary