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cardiology rheumatology symptoms workup clinical constrictive criticalcare differential echocardiogram extraarticular heartfailure hfref myopathy myositis pathophysiology pharmacology ra rheumatoidarthritis schf scleroderma
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... effusion. ... Echocardiogram #a4c ... #pocus #clinical
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 Systemic Sclerosis (Scleroderma) Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs 3
Multi-system autoimmune ... thickening, distal to elbows ... skin thickening Signs ... (interstitial lung ... #signs #symptoms
Rheumatoid arthritis (RA): Extra-articular manifestations Skin: • Inflammation of skin (esp. over areas of stress) forms
Inflammation of pericardium ... (Pericarditis) ... pain, pleural effusion ... pathophysiology #signs ... #symptoms #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... #management #cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Full Set of Vital Signs ... > Constrictive pericarditis ... , Pericardial Tamponade
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
- Differential Diagnosis ... papules and Gottron sign ... ) • Shawl sign ... Symptoms: • Pericarditis ... /Pericardial tamponade
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