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diagnosis differential rheumatology management joint lung abg acid acidbase aids amiodarone approach base comparison cppd disorders eosinophilic gas hiv induced
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
loss, lethargy, fever ... • Fever, weight ... Cytopenias VIRAL ... , chronic diarrhea ... Infections #HIV #AIDS #pulmonary
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
• Rheumatic fever ... • Lyme • Gout ... or more joints Viral ... streptococci (rheumatic fever ... #Diagnosis #MSK
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
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
Acute CPP Crystal ... onset of swelling, pain ... Chronic CPP Crystal ... 12-24 Hours • Fever ... swelling, significant pain
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
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
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
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
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
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
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