67 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... Diagnosis: r/o ... Therapy: Xanthine Oxidase ... #diagnosis #management ... #treatment #ULT
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Causes of Fever CRITICAL ... DIAGNOSES: - ... infarction - Pulmonary ... Transfusion reaction - Pulmonary ... Malignancy - Gout
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
most common) Clinical ... , hemoptysis Treatment ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical
Diagnosis of Pulmonary Embolism in Pregnancy - EMCases Algorithm

Clinical Pearls:
 - Reproducible chest wall tenderness does
Diagnosis of Pulmonary ... EMCases Algorithm Clinical ... does not rule out ... #Algorithm #Pulmonary ... Embolism #Pregnancy #Diagnosis
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Hypertension Presence of pulmonary ... RVSP) - Estimates pulmonary ... pressure < 15mmHg TREATMENT ... effects of nitric oxide ... sGC) to nitric oxide
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Management Summary Clinical ... osteoarthritis, gout ... Treatment: admission ... Ciprofloxacin OR Imipenem Clinical ... patient admitted for treatment
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
had a CT to rule out ... pulmonary embolism ... The diagnosis based ... was cardiogenic pulmonary ... #Clinical #Radiology
Korsakoff Syndrome
Clinical Findings:
 • Confabulation: Usually initial phase of the disease
 • Anterograde amnesia: Memory impairment
Korsakoff Syndrome Clinical ... Memory impairment out ... Encephalopathy Treatment ... Syndrome #neurology #diagnosis
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
failure • Severe pulmonary ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... #microbiology #diagnosis ... #treatment #management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... regurgitation) Diagnosis ... defects • Confirm diagnosis ... Bypass Other Treatment ... Thromboendarterectomy #diagnosis