38 results
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
celiac disease with serology ... biopsy only if serology ... endoscopy only if: • Negative ... Gastrointestinal #Evaluation #workup
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... Susceptibilities, Negative ... Additional metastatic workup ... #candidiasis #treatment
Phimosis 
Inability to retract the foreskin - Can be normal up to 3 years old -
after age 4 Treatment ... #Paraphimosis #Comparison ... #Diagnosis #Urology
Pemphigus Vulgaris vs Bullous Pemphigoid - Comparison Table
Pemphigus Vulgaris
 • Epidemiology: Average age 40-60
 • Time
Bullous Pemphigoid - Comparison ... IgG deposits • Treatment ... Nikolsky sign: Negative ... basement membrane • Treatment ... Bullous #Pemphigoid #Comparison
Commonly Used Diagnostic Tests for Celiac Disease

Tissue transglutaminase (tTG) IgA antibodies
 - Most reliable noninvasive test
specificity - Falsely negative ... disease) - May be negative ... HLA-DQ8 - High negative ... Reflects response to treatment ... Tests #Diagnosis #Workup
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 • Epidemiology: -10% of all lupus cases, drug-dependent,
• Immunologic Workup ... • Immunologic Workup ... pANCA anti-MPO - Negative ... life-threatening • Treatment ... druginduced #lupus #sle #comparison
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Blood cultures/serology ... : Serial negative ... Frequent false-negative ... : + (Negative blood ... #Endocarditis #comparison
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary
 • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
• Immunologic Workup ... pANCA anti-MPO - Negative ... life-threatening • Treatment
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
• Some false negative ... with response to treatment ... IgG4+ cells" Treatment ... management #phenotypes #workup ... #treatment #rheumatology
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... cultures remain negative ... microbiological techniques Work-up ... factors: - Serology ... #differential #workup