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management pocus hematology cardiology differential comparison treatment hemophagocytic hlh lymphohistiocytosis oncology syndrome table arthritis echocardiogram emphysematous erythematosus hodgkins infectiousdiseases jugular
Unexpected source of fever: Liver abscess on point-of-care ultrasound - Dr. Dan Kim https://twitter.com/dan___kim/status/1016714544352116736 #Liver #Abscess #Hepatic #Clinical
Unexpected source of fever ... point-of-care ultrasound ... #Abscess #Hepatic ... #Clinical #POCUS ... #Ultrasound #Radiology
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 Temporal (Giant cell) Arteritis Risk Factors: • Age (almost never occurs before age 50) Clinical: •
• Age (almost never ... before age 50) Clinical ... Constitutional symptoms ... GiantCell #Arteritis #Diagnosis ... #Rheumatology #
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Clinical Features ... (SLE) General: Fever ... Pericarditis, Endocarditis ... erythematosus #signs #symptoms ... #diagnosis #rheumatology
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs/symptoms ... high index of clinical ... is required for diagnosis ... features: Fever ... features: Fever
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 ... Differential Diaqnoses ... splenomegaly • Hepatic ... management #treatment #rheumatology
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... • Persistent fever ... Internet Book of Critical ... #criticalcare #diagnosis
Purpura - Differential Diagnosis Framework Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
- Differential Diagnosis ... mountain spotted fever ... • Bacterial endocarditis ... #Differential #Diagnosis ... #hematology #rheumatology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
night sweats, fever ... Glomerulonephritis Septic ... Diagnosis? ... Persistent bacteremia/fevers ... #cardiology
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX) 50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... presents with fever ... & flu-like symptoms ... Echocardiogram #PLAX #clinical ... #ultrasound #cardiology
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 Hemophagocytic Lymphohistiocytosis (HLH) Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
accumulation of clinical ... : fever +++, hepatosplenomegaly ... +++ (Plt, Hb), Hepatic ... , ↓ Fibrinogen level ... treatment #summary #rheumatology
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