11 results
Multi-System Inflammatory Syndrome in Children (MIS-C) vs. Kawasaki Disease
CDC Case Definition for MIS-C;
 • < 21
Kawasaki Disease ... • < 21 years old ... with fever • ... Positive COVID testin ... #Coronavirus #MultiSystem
Pulmonary Function Testing (PFT) Interpretation Algorithm

Restrictive Lung Disease:
 • Chest wall or neuromuscular disorders
 • Interstitial
Pulmonary Function Testing ... Interpretation Algorithm ... neuromuscular disorders ... Pulmonary #Function #Testing ... Interpretation #Algorithm
Cold Agglutinin Disease

3 Types of Cold Sensitive Antibodies:
  1. Cold Agglutinins (CAD)
  2. Donath-Landsteiner
lymphoproliferative disorder ... infection, autoimmune disorder ... Positive Coombs testing ... Monoclonal IgM Includes Disorders ... Symptoms: High fevers
Hemolytic Anemia - Differential Diagnosis Algorithm
 • Sickle cells - Consider sickle cell disease (diverse genotypes):
Differential Diagnosis Algorithm ... Agglutination - Cold ... bartonella (oroya fever ... Consider RBC membrane disorder ... workup #hematology #testing
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
Nail Disorders secondary ... to Systemic Diseases ... Nail Fold Abnormality ... growth (e.g.. shock ... Differential #Diagnosis #Algorithm
Causes of Myocarditis 
1. Infectious Myocarditis
 • Bacterial - Staphylococcus, Streptococcus, Pneumococcus, Meningococcus, Gonococcus, Salmonella, Corynebacterium
Borrelia (Lyme disease ... Leptospira (Weil disease ... immune-oriented disorders ... Miscellaneous - Scorpion sting ... Radiation, Electric Shock
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Ischemic heart disease ... event, follow ACC algorithm ... surgery Stress Testing ... preoperative stress testing
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
incomplete Kawasaki Disease ... Infants ≤6 months old ... on day ≥7 of fever ... should undergo lab testing ... within 10 d of fever
Weight Loss - Differential Diagnosis Algorithm
Decreased Intake:
 • GI illness (upper and lower)
 • Psychiatric (Depression,
Differential Diagnosis Algorithm ... Psychiatric (Depression, eating ... disorders) • ... COPD) • Chronic ... Differential #Diagnosis #Algorithm
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... Urinary antigen testing ... that exists as a mold ... • Isolated fever ... • Septic shock