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Bandemia Overview Normal: < 1% Clinically significant: > 10% Band neutrophils are slightly less mature than segmented neutrophils and
Bandemia Overview Normal ... : < 1% Clinically ... ) Differential ... likelihood of negative clinical ... #Bandemia #differential
Osborn (J Wave) Etiology • Hypothermia (below 320C / SOOF) • Normal variant • Hypercalcemia • Neurological
320C / SOOF) • Normal ... fibrillation Clinical ... JWave #Diagnosis #Differential
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Evaluation 1) Clinical ... FeCa <1 %) - Low normal ... • If all normal ... Hypercalcemia #workup #differential
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm Clinical ... insufficiency • Low or normal ... Insufficiency #Differential
Adult-Onset Still's Disease Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia + Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... fraction < 20% Differential ... • Muscular: normal ... CK, normal biopsy
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Adrenal Mass - Differential ... High Plasma E2 +Clinical ... Non-Functioning Mass • Normal ... AdrenalMass #Benign #Differential
ARDS/VALI progression over the course of 1 week (a) Day 1 - No pathological findings.
The normal-sized ... structures help in the differential ... #Clinical #Radiology
Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
weeks • Typical clinical ... Hepatic imaging: Normal ... • Histology: Normal-mild ... post-partum • Typical clinical ... hepatitis #comparison #differential
Lymphocutaneous Sporotrichiosis Infection Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis? Lymphocutaneous
systemic signs, labs normal ... biopsy preferred Differential ... Sporotrichiosis #Infection #clinical
Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Adrenal Mass - Differential ... Carcinoma) • Normal ... High Plasma E2 + Clinical ... AdrenalMass #Malignant #Differential
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