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management signs acutepe arthritis bronchiectasis comparison contusion ctchest differential ekg electrocardiogram embolism extraarticular fungal hematology infections infectiousdiseases mycoses pathophysiology pericarditis
Rheumatoid arthritis (RA): Extra-articular manifestations Skin: • Inflammation of skin (esp. over areas of stress) forms
pleural effusion on CXR ... tends to cause ... disease/pulmonary ... pathophysiology #signs #symptoms ... #diagnosis #ExtraArticular
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... symptoms + supporting ... atrial stretch) RA ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
TRALI vs TACO - Transfusion Reactions TRALI: • Epidemiology: 0.1% of transfused patientsl • Risk factors: Critical
without other cause ... ARDS to explain symptoms ... fluid balance, and CXR ... with pulmonary ... #diagnosis #comparison
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic inflammation causes ... inflammation Symptoms ... Most Common Causes ... in the adjacent lung ... mycobacteria Treatment
Rheumatoid Arthritis - Signs and Symptoms • Ocular: Keratoconjunctivitis sicca, Episcleritis, Scleritis, Scleromalacia perforans • Pulmonary:
Scleromalacia perforans • Pulmonary ... : Parenchymal lung ... Musculoskeletal: Joint ... Rheumatoid #Arthritis #RA ... #diagnosis #rheumatology
Acute Recurrent Pericarditis = recurrence of Acute Pericarditis (AP) after free interval >4-6 weeks without symptoms, >1/4
, >1/4 of AP cases ... : pulmonary manifestations ... #Pericarditis #diagnosis ... #rheumatology # ... cardiology
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
overlaps with RA ... , INC risk PE, Pulmonary ... MALT Lymphoma • Lung ... Adenocarcinoma Treatment ... Sjogrens #Syndrome #Rheumatology
Relapsing Polychondritis What is it? Recurrent inflammation of the cartilage in the body (Autoimmune disorder) Who? • Most frequently: 40
ethnicities Symptoms ... as: • SLE • RA ... Diagnosis: ... affected tissue Treatment ... Polychondritis #rheumatology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
acute respiratory symptoms ... symptoms • Rheumatologic ... muscle aches, joint ... change in the lungs ... nails, bronchi, lungs
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Several of the diagnoses ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary
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