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Medical Treatment Algorithm for Chronic Obstructive Pulmonary Disease
Initial medical treatment of chronic obstructive pulmonary disease (COPD)
of obstruction, symptom ... control persistent symptoms ... corticosteroid; LABA ... long-acting β2-agonist; LAMA ... #LABA #LAMA #SABA
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
perceived level of symptoms ... LAMA: long-acting ... muscarinic antagonist; LABA ... #Management #Pulmonary ... COPD #GOLD2017 #LAMA
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
include penis and labia ... Without treatment ... called condyloma lata ... and nephrotic syndrome ... exposure to or symptoms
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Secondary Syphilis ... The signs and symptoms ... with or without treatment ... , but without treatment ... lesions—Condyloma lata—on
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... Renal Syndromes ... WORKUP & DIAGNOSIS Labs ... or serologies + symptoms ... diagnosis #management #treatment
Acute Retroviral Syndrome
Acute Retroviral Syndrome is the symptomatic presentation of acute human immunodeficiency virus infection

 •
Acute Retroviral Syndrome ... Acute Retroviral Syndrome ... manifestations Labs ... • Rubella • Syphilis ... antibody test) Treatment
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Differentiation Syndrome ... Triggers: ATRA treatment ... Diagnosis: • Labs ... Imaging: CXR- pulmonary ... Diagnosis: >3 symptoms
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
rapid-turnover” SCLC - Lab ... Ca - q8 h TLS labs ... rise from last lab ... → no immediate treatment ... renal failure, pulmonary
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
starting amiodarone treatment ... respiratory distress syndrome ... gradually with symptoms ... Improvement in symptoms ... Labs: • Nonspecific