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differential algorithm rheumatology syndrome capillary cell clarksons diuresis diuretics euvolemic excretion hematuria histiocytosis hypervolemic hyponatremia hypovolemic langerhans lch leak legionnaires
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
RBC’s, RBC/WBC casts ... suggest intrinsic renal ... disease - Timing ... #EM #IM #Urology ... Differential #Algorithm #Ddxof
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
symptoms (HA, nausea ... cardiac, liver, renal ... disease), drug ... #EM #IM #Nephro ... Differential #Algorithm #Ddxof
Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
non-productive cough, nausea ... : Jaundice + renal ... failure • Severe pulmonary ... disease ARDS Diagnosis ... #treatment #management
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... life-threatening diseases ... Inflammatory eye disease ... Goodpasture's cause ... #management #treatment
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... Torsemide) • Acute pulmonary ... Kidney stones caused ... Tolvaptan) • Treatment
Clarkson’s Disease - Capillary leak syndrome Epidemiology: Roughly 150 published cases, Median age 50 years, No sex
150 published cases ... tissues: Myalgia, paresthesia ... filling +++ (risk of pulmonary ... leak #syndrome #diagnosis ... #management #timeline
Pheochromocytoma - Diagnosis and Management Summary 10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
malignant, pediatric cases ... may present with pulmonary ... , induction of anesthesia ... disease: Management ... #Management #treatment
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Hypocomplementemia • Can cause ... : • 10%-15% Pulmonary ... Distal (Type I) renal ... Adenocarcinoma Treatment ... #Management
Legionnaires' Disease Clinical features: • Gl- nausea, vomiting, diarrhea • Hyponatremia • Elevated transaminases • CRP >100
features: • Gl- nausea ... respond to B-Lactams Treatment ... Extra-pulmonary: ... Hospital of Baltimore IM ... #diagnosis #management
Langerhans Cell Histiocytosis (LCH) Granulomatous Lesions comprising langerin-positive histiocytes and an inflammatory infiltrate can arise in virtually
• Pulmonary Symptoms ... Birbeck granules (EM ... DIAGNOSIS • Imaging ... TREATMENT OPTIONS ... #Management
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