27 results
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential ... progressing GN • New pulmonary ... Coronary arteries - Fever ... : • Fevers • ... purpura: strong sign
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... cardiology #McConnells #sign
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Cough, Dyspnea, Fever ... symptomatology Differential ... ANCA-positive vasculitis ... ANCA-negative vasculitis ... Renal #Syndrome #differential
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
Pulmonary Renal ... Syndromes and Mimics - Differential ... other hemorrhagic fevers ... Kumfer @AnnKumfer #Pulmonary ... Syndromes #Mimics #Differential
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... Differential Diagnosis ... : • Fevers • Fatigue ... purpura: Strong sign ... and branches • Fever
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... symmetrical T-waves ... V2 • Wellens sign ... pain • Wellens sign ... EKG #diagnosis #differential
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... without localizing signs ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... Returning #Traveler #differential
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Differential Diagnosis ... falls (like a wave ... Brucellosis Faget's Sign ... #Patterns #Differential
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
yersinia/rats, Q fever ... disorders: - Vasculitis ... Others: - Pulmonary ... abnormalities (Pulmonary ... #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... QRS complex Pulmonary ... (Eiffel Tower sign ... Segment #Elevation #differential