45 results
Leukemias Overview: ALL, CML, AML, APML, CLL

Acute leukemias > 20% blasts in the peripheral blood smear
peripheral blood smear ... , fever, joint pain ... Neutrophils • Immature/Myeloblasts ... • Peripheral smear ... Hematology #Oncology #Diagnosis
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
arrived w/severe abd pain ... headache and abd pain ... LBRF can be diagnosed ... can be used for diagnosis ... #recurrentis #BloodSmear
Oroya Fever
Hematologic disease caused by Bartonella bacilliformis
Restricted to the Andes highlands of Peru & Ecuador
B. bacilliformis:
Oroya Fever Hematologic ... Nodular → Mular DIAGNOSIS ... phase: Peripheral smear ... ​• Chronic phase ... #diagnosis #management
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Chronic Abdominal ... Diagnosis Framework ... did not yield a diagnosis ... Red Flags: • Fever ... #Differential #Diagnosis
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
cause biliary pain ... nausea, vomiting, fever ... , Murphy sign Chronic ... , jaundice, fever ... #differential #diagnosis
Whipple Disease (Tropheryma whipplei) - Diagnostic Algorithm

Whipple's disease suspected:
 • Arthralgias, weight loss, abdominal pain, diarrhea
Tropheryma whipplei) - Diagnostic ... loss, abdominal pain ... cognitive deficits • Fever ... unknown origin, chronic ... Whipple #Disease #diagnosis
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Fever of Unknown ... Refer to your ‘Fever ... Thick and thin smear ... Clinical findings of PAN ... UnknownOrigin #workup #diagnosis
IDSA - Conventional Criteria for the Diagnosis of Sinusitis Based on the Presence of at Least
Criteria for the Diagnosis ... or anosmia • Fever ... • Cough • Fever ... for subacute or chronic ... #sinusitis #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Arthritis Differential Diagnosis ... acute/subacute/chronic ... • Rheumatic fever ... streptococci (rheumatic fever ... #Differential #Diagnosis
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint Pain ... Dermatomyositis Erythema chronicum ... • Rheumatic fever ... dermatology #joint #pain ... #differential #diagnosis