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agglutinin anemia clinical cold disease eschar hemolytic hepatology interpretation lfts liver rakari rheumatology rickettsialpox rvalue skinrash transaminitis vasculitis
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Elevation of ALP • Near ... intestines, White blood cells ... Hemolysis #liver #chemistry ... #diagnosis #differential ... #Hepatology #transaminitis
Rickettsialpox Eschar 40 homeless male from NY admitted with fever, chills, headache, myalgias. Diagnosis? Rickettsialpox R akari classic
Diagnosis? ... triad of fever, vesiclar ... not endothelial cells ... rakari #clinical #photo ... #skinrash #dermatology
Cold Agglutinin Disease 3 Types of Cold Sensitive Antibodies: 1. Cold Agglutinins (CAD) 2. Donath-Landsteiner
Agglutination in the nose, ears ... Mycoplasma, EBV, HIV ... younger pts) Differential ... sensitize red blood cells ... hemolytic #anemia #hematology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Diagnosis Framework ... HTN • Check: HBV ... legs), cutaneous vesicles ... well as inner ear ... #Diagnosis #Rheumatology
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