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diagnosis management cardiology erythematosus sle systemic activation canimorsus capnocytophaga clinical differential echocardiogram fungal hematology infections macrophage mas microbiology mycoses pocus
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Features of Systemic Lupus ... (SLE) General: Fever ... effusion, Restrictive lung ... Pericarditis, Endocarditis ... symptoms #diagnosis #rheumatology
Macrophage Activation Syndrome (MAS) Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH) What? A subset of
disease • Periodic fever ... multiorgan failure • Fever ... - Nonremitting fever ... rash) • Heart, lung ... Treatment: • Corticosteroids
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
weight loss, and fever ... Non-autoimmune rheumatologic ... • Libman-Sacks endocarditis ... to: Arthritis, Fever ... Erythematosus #Diagnosis #Rheumatology
Capnocytophaga Pathogen: Capnocytophaga • 9 species, C. canimorsus responsible for the majority of infections • Gram-negative rod,
SIow growing, Long ... • Cellulitis: Fever ... 13%), Pneumonia, Endocarditis ... Treatment: • 50% ... microbiology #zoonotic #infectiousdiseases
Tricuspid Valve Endocarditis on POCUS Echocardiogram Patient with active IVDU presents with fever, sepsis. More likely
Tricuspid Valve Endocarditis ... presents with fever ... frequently have lung ... emboli (see CT cor ... Echocardiogram #clinical #cardiology
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... night sweats, fever ... hematuria, + RF Treatment ... Persistent bacteremia/fevers ... #infectiousdiseases
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
respiratory symptoms • Fever ... pulmonary symptoms • Rheumatologic ... infection • Cough, fever ... • Isolated fever ... arthritis, and endocarditis
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