10 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Cough, Dyspnea, Fever ... Differential Diagnosis ... Complex: Systemic lupus ... , anti-CCP • CXR ... high resolution chest
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
POCUS with IJ Thrombosis ... Male with high fever ... Differential/diagnosis ... septic emboli in lungs ... #Jugular #Thrombosis
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
weight loss, and fever ... Differential Diagnosis ... to: Arthritis, Fever ... and leukemia • Lung ... Erythematosus #Diagnosis
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
(SLE) General: Fever ... Purpura, Urticaria Chest ... effusion, Restrictive lung ... Demyelinating syndromes ... signs #symptoms #diagnosis
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Breast Leukemia Lung ... Mediterranean fever ... Systemic lupus ... granulomatosis Rheumatic fever ... #Differential #Diagnosis
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
e.g. incidental CXR ... General: fever, ... skin (16-32%): lupus ... : ACUTE, fever, ... presentation with fever
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework

LDH is a cytoplasmic enzyme present in tissues throughout
- Differential Diagnosis ... infarction • COVID ... elevated serum LDH level ... Cerebral venous thrombosis ... myocarditis, rheumatic fever
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Sagittal View

Male with high fever and right
POCUS with IJ Thrombosis ... Male with high fever ... Differential/diagnosis ... septic emboli in lungs ... #Jugular #Thrombosis
Based on the images alone, it is usually not possible to determine the cause of the
with cough and fever ... with low oxygen level ... nodular interstitial lung ... #Clinical #Diagnosis ... #Radiology #CXR
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Neutropenic fever ... : - Fever + ANC ... or HSCT - CRS: fever ... ICANS: altered level ... therapy - Symptoms: fever