11 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
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
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
or the anterior chest ... the disease and ILD ... increases and ILD ... anti-NXP2 Abs Lung ... prevalence of RP-ILD
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 ... #diagnosis #criticalcare ... comparison #challenges #management
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
Crossmatch - involves testing ... Related Acute Lung ... RBCs (stored at 4C ... #Transfusions #diagnosis ... #management #hematology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
change CV risk Chest ... unless prior heart/lung ... surgery Stress Testing ... medical and surgical management ... stratification #diagnosis
CABG Graft Pseudoaneurysm

Chest pain post CABG - always worth taking a look!  Large graft pseudoaneurysm!!
Pseudoaneurysm Chest ... COPD lungs and bad ... CTA chest showed ... the diagnosis, ... echocardiogram #s4c
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Related Acute Lung ... false negatives on testing ... RBCs (stored at 4C ... #Transfusion #diagnosis ... #management #hematology
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