9 results
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... accessible joint effusion ... typically part of the workup ... Distal joints, knees ... #Management #Microbiology
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
: conjunctival suffusion ... ARDS Diagnosis ... Epidemiologic exposure + clinical ... agglutination - test ... Leptospirosis #Leptospira #microbiology
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
Romana Sing (unilateral ... myocarditis, pericardial effusion ... ": T. cruzi + clinical ... T.cruzi without clinical ... #Management #Microbiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... echocardiogram to workup ... circumferential pericardial effusion ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Thyroid Function Tests ... Hyperthyroidism: Work-up ... Hyperthyroidism → Signs ... ophthalmopathy → Graves' Disease ... Hyperthyroidism #algorithm #diagnosis
Chronic Lymphocytic Leukemia - Summary

Cancer affecting lymphocytes/Mature B cell neoplasm
 • Lymphocytes accumulate in large numbers
adults in the west ... Orange or Hep C Clinical ... Physical Exam/Signs ... cells can indicate disease ... #workup #oncology
Pneumopericardium on POCUS Echocardiogram

This 70yo male presents with sob. He is in a left lateral decub
Pneumopericardium on POCUS ... Which diagnosis ... best fits this clip ... , no signs of tamponade ... Echocardiogram #clinical
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
Romana Sing (unilateral ... myocarditis, pericardial effusion ... ": T. cruzi + clinical ... T.cruzi without clinical ... #Management #Microbiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... of lactate as a clinical ... presentations and disease ... / hypoxemia -> focus ... tests before beginning