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diagnosis differential management rheumatology infections infectiousdiseases joint lung abg acid acidbase amiodarone approach base disorders eosinophilic fungal gas gout hiv
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
• Fever, weight ... Cytopenias VIRAL ... , chronic diarrhea ... Infections #HIV #AIDS ... #pulmonary #differential
Eosinophilic Pneumonia When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
common diagnoses Acute ... tobacco hx - Fever ... Pleuritic Chest Pain ... mechanical ventilation Chronic ... (CEP) - F>M (2
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
the time course (acute ... • Rheumatic fever ... or more joints Viral ... streptococci (rheumatic fever ... #Diagnosis #MSK
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
General: fever, ... Extrapulmonary: ankle arthritis ... anterior/posterior MSK ... , fever, migratory ... presentation with fever
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint Pain ... rheumatic fever ... • Chronic - Think ... • Acute = Viral ... #Joint #Pain #MSK
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
toxicity (e.g., acute ... • Chronic toxicity ... (e.g., chronic ... Fever 4. ... Pleuritic chest pain
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
respiratory symptoms • Fever ... infection • Cough, fever ... yeast • At risk: AIDS ... or chronic pulmonary ... • Isolated fever
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acute or chronic ... Hyperventilation (Anxiety, pain ... , fever, hypoxia ... lung disease (COPD ... Nephrology #ABG #bloodgas
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
12-24 Hours • Fever ... swelling, significant pain ... frequent attacks • Arthritis ... not possible • Ultrasound ... • Serum urate level
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
and branches • Fever ... tract: Abdominal pain ... Coronary arteries • Fever ... Eosinophilia, asthma, chronic ... urticaria, recent viral
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