36 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... Diagnosis: r/o ... Needle-shaped, negative ... #diagnosis #management ... treatment #ULT #rheumatology
Characteristics of Selected Pneumonias

Streptococcus pneumoniae (pneumococcus). Gram-positive diplococci. 
Haemophilus influenzae. Pleomorphic gram-negative coccobacilli. 
Staphylococcus aureus. Plump
Plump gram-negative ... Gram-negative rods ... Pneumonia #Patterns #Diagnosis ... #Comparison #Table ... #Presentation #Pulmonary
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 • Smooth pleural line
 • AIS >
Lung Ultrasound: ... Cardiogenic Pulmonary ... #edema #comparison ... #clinical #diagnosis ... #ultrasound
Causes of Polycythemia (Erythrocytosis) - Differential Diagnosis Algorithm
Relative - Normal RBC Mass / Decreased Plasma Volume
- Differential Diagnosis ... Algorithm Relative ... Abnormal Abdominal Ultrasound ... Cyanosis without Pulmonary ... #Differential #Diagnosis
Connective tissue disease-associated interstitial lung diseases

LIP: lymphoid interstitial pneumonia. NSIP: nonspecific interstitial pneumonia. OP: organizing pneumonia.
LungDisease #CTILD #Diagnosis ... #Differential #Comparison ... #Table #Pulmonary ... #Rheumatology #
Rapidly Progressive Glomerulonephritis (RPGN)
RPGN has three primary pathophysiologic causes differentiated by immunofluorescence

Immune Complex Mediated (granular staining):
With associated pulmonary ... Pauci-immune mediated (Negative ... #differential #diagnosis ... #algorithm #rheumatology
Syphilis - Diagnosis and Management - Primary vs Secondary vs Tertiary
Primary Syphilis
 • Localized lymphadenopathy
 •
Syphilis - Diagnosis ... 30-40%) - Negative ... treponemal tests rule out ... Secondary #Tertiary #Comparison ... #Diagnosis #Management
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
culture used to diagnose ... Needle-shaped, negatively ... stain and culture- Diagnose ... #Comparison #rheumatology ... #Diagnosis
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Differential Diagnosis ... polyangiitis) - ANCA-negative ... confirm DAH, rule out ... #differential #diagnosis
Pulmonary Embolism Rule-Out Criteria

In the United States, the workup rate for PE is astonishingly high, with
Pulmonary Embolism ... Rule-Out Criteria ... risk AND PERC negative ... #Diagnosis #Pulmonary