123 results
Pulmonary Renal Syndrome: Investigations and Management

#Pulmonary #Renal #Syndrome #Diagnosis #Workup #Management
Pulmonary Renal ... Syndrome: Investigations ... and Management ... #Pulmonary #Renal ... #Workup #Management
Systemic Sclerosis (Scleroderma)
Limited - CREST:
 • Calcinosis
 • Raynaud phenomenon
 • Esophageal dysmotility
 • Sclerodactyly
 •
• Scleroderma renal ... diagnosis #signs #symptoms ... #rheumatology
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
thickening Signs and Symptoms ... arterial HTN) • Renal ... : scleroderma renal ... Scleroderma #SSc #rheumatology ... diagnosis #signs #symptoms
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis
Clinical Features:
 • Altered mental status (Either lethargy, confusion, or
Encephalopathy Syndrome ... Features: • Altered mental ... Immunomodulatory meds ... inhibitors • Renal ... Encephalopathy #Syndrome
Indications for Parathyroidectomy in Primary Hyperparathyroidism
 • All patients with symptomatic PHPT
 • Serum calcium 1
• Evidence of renal ... risk, impaired renal ... Indications #PHPT #endocrinology ... #management #Hyperparathyroidism
Causes of Hypercalcemia
Parathyroid hormone–dependent
Primary hyperparathyroidism
Familial hypocalciuric hypercalcemia
Lithium-associated
Tertiary hyperparathyroidism
Genetic disorders (e.g., multiple endocrine neoplasia type 1 or
hormone–independent Renal ... Other humoral syndromes ... disease - Williams syndrome ... intoxication, milk-alkali syndrome ... Differential #Diagnosis #Endocrinology
Diagnosis of Cryoglobulinemia Vasculitis

1) Presence of cryoglobulin 
Circulating immunoglobulins that precipitate with cold temperature and dissolve
phenomenon • Ulcers, distal ... Hyperviscosity syndrome ... arthritis • Renal ... Vasculitis #Diagnosis #Rheumatology
Hypothyroidism – symptoms and signs.

Symptoms: 
Tiredness/malaise, 
Weight gain,
Anorexia,
Cold intolerance, 
Poor memory,
Change in appearance, 
Depression, 
Poor libido,
Hypothyroidism – symptoms ... Symptoms: Tiredness ... Deafness Signs: Mental ... Carpal timel syndrome ... #PhysicalExam #Endocrinology
Differential diagnosis of schistocytes / fragmentation hemolysis:
 • Thrombotic microangiopathies (TMA)
    - TTP
hemolytic-uremic syndrome ... • Scleroderma renal ... anemia" • HELLP syndrome ... differential #diagnosis #hematology
Stepwise Approach to Prescription of SGLT2 inhibitors 

Anticipatory Guidance 
• Consider diuretic dose reduction 
Patient Counseling
Counseling • Genital ... foot exams • Symptoms ... Prescribing #Monitoring #Management ... #Endocrinology