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diagnosis differential dyspnea rheumatology classification dermatology elevation emergencies hemeonc lactate lactic management oncologic oncology petechiae petechial physicalexam sob syndrome typea
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
HTN - Vasculitis ... Transverse myelitis • Hematology ... : - Anemia • ... Additional: - Acidosis ... #pulmonary
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Causes of Dyspnea ... hypertension • Vasculitis ... • Anxiety • Anemia ... • Metabolic acidosis ... #Causes
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Diagnosis Algorithm ... Infection - Vasculitis ... (lupus, RA, Sjogren's ... #Causes #dermatology
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Hypocomplementemia • Can cause ... , INC risk PE, Pulmonary ... ) • Cutaneous vasculitis ... renal tubular acidosis ... Adenocarcinoma Treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
e.g., uptake by cells ... perfusion - shock->treatments ... before beginning treatment ... output - Acute pulmonary ... 30mmHg) - Severe anemia
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
progressing GN • New pulmonary ... Multinucleated giant cells ... , mucositis • Rash ... tract, and often causes ... Differential #Diagnosis #Rheumatology
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
syndrome): - Hematologic ... Treat underlying cause ... “big & sticky” cells ... - CRS: fever, rash ... renal failure, pulmonary
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