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differential clinical management rheumatology vasculitis blood classification hematology product reactions blastomycosis cryoglobulinemia cryoglobulins dermatology eschar extremity inflammatory iris leg lichen
Cryoglobulinemia Summary Cryoglobulins: • Cryoglobulins are Igs in the serum that precipitate in vitro at temperatures below
- Purpura - Skin ... : HCV infection, ... HBV infection, ... HIV infection ... Henoch-Schönlein purpura) • Cutaneous
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
of treatment of HIV ... • 10-20% of HIV-infected ... a decrease in HIV ... pancreatitis • HBV ... , HCV - Hepatic
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
fungal culture of skin ... staining confirmed a diagnosis ... pyogranulomatous fungal infection ... #clinical #photo ... #derm #NEJM #cutaneous
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Necrotizing, pauci-immune ... respiratory tracts Immune ... to exclude are infections ... Cryoglobulins • HIV ... • HBV HCV •
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... to exclude are infections ... Strong sign of cutaneous ... muscle weakness • Nerves ... HTN • Check: HBV
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Leg Pain: • Infection ... Epidural abscess - Herpes ... zoster - HIV ... extremity #msk #physicalexam
Cutaneous Mucormycosis Eschar 30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
Eschar 30 M HIV ... Diagnosis? ... malnutrition, HIV ... #dermatology #skin ... #clinical #photo
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
include: fever, cutaneous ... with skin flora ... Extremely rare - HIV ... 2,000,000,000, HBV ... in 100,000,000, HCV
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
include: fever, cutaneous ... with skin flora ... Extremely rare - HIV ... 2,000,000,000, HBV ... in 100,000,000, HCV
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
confirming the diagnosis ... association with HCV ... association between HCV ... #NEJM #clinical ... #photo #lichen #
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