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diagnosis management differential ana antibody antinuclear cytoplasmic patterns testing algorithm antibiotic antinxp2 antinxp2dm autoimmune boop cancer colon cop crohns cryptogenic
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
association with CTD ... Transaminases • UA ... strep, HIV • CTD ... BOOP #pulmonary #ILD
Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns Nuclear Patterns: • Homogeneous pattern: -
- SLE, SjS, CTD-ILD ... differential #diagnosis #rheumatology
Crohn's Disease & New Diagnosis of Colon Cancer Algorithm - Define Colonic Disease Extent, Activity &
Activity (MR Pelvis ± EUA ... ) - Consult CRS ... • Up to 39% of pts ... • Up to 46% of pts ... management #treatment #ibd
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Non-autoimmune rheumatologic ... Pleural/pericardial/abd ... involve PNS and CNS ... Erythematosus #Diagnosis #Rheumatology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... bleeding - EUS-FNA ... cardiac devices (ICD ... prosthesis - EUS-FNA ... #Prophylaxis #Endoscopy
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
(CrU * volume)/CrS ... Equation NUTRITION IBW ... 110-220 Ib Ideal ... Inhalation injury (endoscopy
Antinuclear Antibody Testing Cytoplasmic Patterns Reticular/AMA: • PBC, SSc, PBC/SSc OS, PBC/SjS OS • AMA Speckled: •
: • SLE, SjS, CTD-ILD ... differential #diagnosis #rheumatology
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Anti-MDA5 (RP-ILD ... ), dermato-rheumatologic ... • ANA < 20 % IBM ... aspiration > 50% of pts ... Myositis #Myopathy #rheumatology
Anti-NXP-2 Dermatomyositis What? DM with generalized subcutaneous edema Pts have more myalgias, more severe weakness, and an increased prevalence
subcutaneous edema Pts ... Dermatomyositis: • ILD ... diagnosis #management #rheumatology
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