38 results
Approach to a Positive (+) Rheumatoid Factor (RF)
(+) RF does not always = RA
Rheumatic disorders:
 •
Polymyositis & Dermatomyositis ... Inflammatory disorders of Liver ... & Lung • Malignancies ... Rheumatoid #Factor #RF #rheumatology ... #differential #diagnosis
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
disease and ILD • Liver ... Liver biopsies show ... anti-NXP2 Abs Lung ... #rheumatology # ... dermatology #diagnosis
Portal Venous Gas on POCUS

Adhikari's Image of the Wk: Portal vein gas! Can be an ominous
Venous Gas on POCUS ... ominous prognostic sign ... result of recent diagnostic ... Portal #VenousGas #POCUS ... #Liver #Ultrasound
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings ... pleura in severe cases ... #differential #diagnosis ... #signs #Lung #POCUS ... #ultrasound #findings
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... Lung POCUS shows ... partially seen shred sign ... NOT definitively diagnose ... #ultrasound
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... Transfer to a liver ... #AFLP #Fatty #Liver
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Causes of Gallbladder ... - Differential Diagnosis ... heart failure, Liver ... #radiology #POCUS ... #ultrasound
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
without warning signs ... and no apparent focus ... Liver enlargement ... involvement, such as liver ... classification #diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
the setting of liver ... absence of intrinsic lung ... disease Caused ... • Underlying liver ... hypertension • Liver
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Chronic lung ... disease • Liver ... Low serum IgG level ... DDX - Other causes ... #diagnosis #management