8 results
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
biliary, renal, lung ... with response to treatment ... + cells" Treatment ... Disease #diagnosis #management ... #rheumatology
IGG-4 RELATED DISEASE

WHAT?
 • A chronic, immune-mediated fibroinflammatory disease with tumefactive infiltration of IgG4+ plasma cells
IGG-4 RELATED DISEASE ... proteinuria • Lungs ... Criteria: Clinical/radiologic ... mimics excluded MANAGEMENT ... #Management #Rheumatology
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
SIow growing, Long ... Treatment: • 50% ... microbiology #zoonotic #infectiousdiseases ... #diagnosis #management ... #treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
1 — Treat the lungs ... Consider BiPAP (vS intubation ... (no B-lines on ultrasound ... Revascularization, treatment ... #Management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
pulmonary symptoms • Rheumatologic ... change in the lungs ... nails, bronchi, lungs ... ) #Mycoses #InfectiousDiseases ... Fungal #Diagnosis #Management
Toxocariasis
Pathogen: Toxocara - worldwide distributed helminth 
Transmission: 
 • Dogs and cats are the major source
migrate through the lungs ... assays detect human IgG ... Toxocara #diagnosis #management ... #infectiousdiseases ... #treatment #microbiology
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary

WHAT?
 • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
Diagnosis and Management ... universally used, ultrasound ... TREATMENT: • The ... mainstay of treatment ... #Rheumatology
Coccidioidomycosis (Valley Fever) - Diagnosis and Management Summary

WHAT?
 • Coccidioidomycosis due to Coccidioides immitis or Coccidioides
Diagnosis and Management ... spherules in the lungs ... check for IgM and IgG ... TREATMENT: Clinically ... #infectiousdiseases