9 results
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
: fever +++, hepatosplenomegaly ... +++ (Plt, Hb), Hepatic ... , ↓ Fibrinogen level ... Lymphohistiocytosis #diagnosis #management ... treatment #summary #rheumatology
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
with a palpable hepatic ... definitive host; the infection ... #clinical #NEJM ... #hepatic #radiology ... #CT #ultrasonography
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... triad: Fever, Arthralgia ... Diaqnoses: • Infectious ... splenomegaly • Hepatic ... #treatment #rheumatology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... for metastatic infection ... • Persistent fever ... • Aggressive management ... Internet Book of Critical
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
immune compromise Clinical ... cystitis, may have fever ... present or signs of infection ... , such as fever. ... , specifically CT
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... pulmonary symptoms • Rheumatologic ... • Cough, fever ... • Isolated fever ... Fungal #Diagnosis #Management
Hodgkin's Lymphoma Overview

Hodgkin's lymphoma (HL) is an uncommon hematological malignancy arising from mature B cells. It
History of EBV infection ... Hodgkin Lymphoma - Clinical ... • Dyspnea • Fever ... physical exam, CT ... #oncology #management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
12-24 Hours • Fever ... Diagnose concomitant infection ... not possible • Ultrasound ... • Dual-energy CT ... #treatment #rheumatology
Pocket Hematoma after Pacemaker Placement
A rare, but can't-miss complication from pacemaker placement. Low incidence (1-9%) overall,
Heparin increases ... NEVER attempt to ... systemic signs (fever ... Pocket #Hematoma #clinical ... #Pacemaker #photo