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diagnosis management cardiology endocarditis hematology infectiousdiseases product reactions antimda5 antimda5dm cephalization challenges chf clinical criticalcare cxr dermatology dermatomyositis differential erythematosus
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 ... Glomerulonephritis Myositis(5%) Blood ... symptoms #diagnosis #rheumatology
Stage I - Redistribution In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... are smaller and fewer ... supplying the lung ... In these cases comparison ... #Clinical #Radiology
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
S/sx: Fever, flank ... have drop in Hct, fever ... Related Acute Lung ... Sx include: fever ... • Transfusion Cardiac
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
S/sx: Fever, flank ... have drop in Hct, fever ... Related Acute Lung ... Sx include: fever ... - Transfusion Cardiac
ANTI-MDA5 DERMATOMYOSITIS Cutaneous manifestations: • Periorbital heliotrope (blue-purple) rash with edema • Erythematous rash on the face, or the
or the anterior chest ... Dermatomyositis • Fever ... onset [33-74%] • Blood ... anti-NXP2 Abs Lung ... Dermatomyositis #rheumatology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Microbiology: Blood ... night sweats, fever ... • Blood cultures ... Persistent bacteremia/fevers
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
15% increase in cardiac ... Pulse Contour Cardiac ... Point of Care Ultrasound ... flow in the chest ... #criticalcare #comparison
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... Microbiology: Blood ... night sweats, fever ... Diagnosis: • Blood ... Persistent bacteremia/fevers
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
or family - Ever ... exam Determine Cardiac ... change CV risk Chest ... unless prior heart/lung ... postoperative cardiac
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
respiratory symptoms • Fever ... pulmonary symptoms • Rheumatologic ... • Major blood ... infection • Cough, fever ... • Isolated fever
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