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management differential rheumatology signs syndrome algorithm aorta aortic arteritis b12 behcet bells carpi cobalamin coronavirus covid19 cryofibrinogenemia deficiency disease dissection
Diagnostic approach to the admitted patient with possible COVID-19 Initial evaluation - Chest X-ray - Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... X-ray - Lung ultrasound ... as clinically indicated ... (e.g. echocardiogram ... COVID19 #algorithm #schema
Type A Dissection on POCUS (PLAX view) 39 yo M w CP drops his BP in ED.
Non-ischemic EKG ... What's the Diagnosis ... Aortic #Aorta #Echocardiogram ... #PLAX #Clinical ... #Ultrasound #POCUS
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 Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
association • M > F Clinical ... Behcet syndrome (Clinical ... retinal tears, Ischemia ... Arthritis, AS Treatment ... inhibitors • Uveitis- Ophthalmology
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
intrinsic factor, IF) Clinical ... hypoxia and organ ischemia ... to manifest its symptoms ... , alcohol use, symptoms ... Check for IF ab Treatment
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... o infection • Echocardiogram ... recent DAN) • EMG ... or serologies + symptoms ... #management #treatment
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
- Atypical Clinical ... , facial nerve ischemia ... Imaging (if atypical symptoms ... inflammatory cause) • EMG ... #Management #Treatment
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Rheumatologic symptoms ... , with ensuing ischemia ... has five major clinical ... fungal stain of clinical ... osteoarticular, pulmonary, ocular
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... of the steroid treatment ... Treatment of GCA ... required +/- prompt ophthalmology ... Temporal #Signs #Symptoms
Cryofibrinogenemia Summary Cryofibrinogenemia Epidemiology: • 40-70 years with a modest female predominance Cryofibrinogenemia: • The precipitation of a
cryoglobulin (CG ... Cryofibrinogenemia Symptoms ... limb and bowel ischemia ... pulmonary emboli, and ocular ... : • + Clinical
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
noncompliance • Clinical ... initiation Clinical ... skin lesions, ocular ... Zoster flare, ocular ... Calmette-Guérin (BCG
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