10 results
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
• Pulmonary: ILD ... (interstitial lung ... #rheumatology # ... diagnosis #signs ... #symptoms #testing
Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
 • Homogeneous pattern: 
   -
Antinuclear Antibody ... Testing - Nuclear ... SLE, SjS, CTD-ILD ... #differential #diagnosis ... #rheumatology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Echocardiogram A 55-year-old ... ASA, Kussmaul's sign ... edema, and clear lungs ... Echocardiogram #a4c ... #pocus #clinical
Antinuclear Antibody Testing Cytoplasmic Patterns
Reticular/AMA: 
 • PBC, SSc, PBC/SSc OS, PBC/SjS OS
 • AMA
Speckled:
 •
Antinuclear Antibody ... Testing Cytoplasmic ... SLE, SjS, CTD-ILD ... #differential #diagnosis ... #rheumatology
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
the disease and ILD ... increases and ILD ... anti-NXP2 Abs Lung ... prevalence of RP-ILD ... #dermatology #diagnosis
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Fluid Tolerance Testing ... blood flow in the chest ... precede other signs ... Responsiveness #Tolerance #testing ... #diagnosis #criticalcare
Total Anomalous Pulmonary Venous Return (TAPVR)

Here's the bedside Echo of an 8-week-old boy who presented to
Echo of an 8-week-old ... Blood from the Lungs ... way any blood is getting ... Venous #Return #POCUS ... Echocardiogram #Clinical #A4C
CABG Graft Pseudoaneurysm

Chest pain post CABG - always worth taking a look!  Large graft pseudoaneurysm!!
COPD lungs and bad ... to exhale and hold ... the diagnosis, ... Pseudoaneurysm #clinical #pocus ... echocardiogram #s4c
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
or the anterior chest ... (in a V-sign), ... Dermatomyositis: • ILD ... was diagnosed in ... #management #rheumatology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Case A 39-year-old ... Vital signs: BP ... This post will focus ... trauma are diagnosed ... #Lung #Pulmonary