11 results
Retinal Vasculitis in Takayasu’s Arteritis- ...Ophthalmologic examination revealed severe impairment, with perception of only light in
Arteritis- ...Ophthalmologic ... showed normal anterior ... Panel A, and see Video ... #NEJM #clinical ... #radiology #fluorescein
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
confirmed the diagnosis ... accumulation in the liver ... #clincial #peds ... #infant #NEJM # ... Wolmans #radiology
Flapping tremors of Asterixis

DDx
- Decompensated cirrhosis or acute liver failure.
- Renal failure /azotemia.
- Respiratory failure with
cirrhosis or acute liver ... - Renal failure ... #PhysicalExam #clinical ... #diagnosis #video
VExUS - Venous Excess Ultrasound Score 

The Venous Excess UltraSound (VExUS) grading system prototypes combining inferior
and interlobular renal ... still toward the liver ... Intra-renal venous ... IVC #Congestion #Diagnosis ... #POCUS #Clinical
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
pits <100k), ↑ liver ... severe RUQ pain, renal ... hemolysis, elevated liver ... so have high clinical ... htn #obstetrics #cardiology
Esophageal Atresia and Tracheoesophageal Fistula- An infant had an apneic episode at birth and received positive-pressure
fistula, type C, was diagnosed ... cardiovascular, renal ... #NEJM #clinical ... #radiology #esophageal
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... , and possibly renal ... failure Clinical ... papules, nodules; anterior ... heart (2-5%), liver
Bear Paw Sign of Xanthogranulomatous Pyelonephritis on POCUS

Adult female with right flank pain, fever, leukocytosis, soft
Right renal sag ... video. ? ... Diagnosis/differential ... #Sign #POCUS #clinical ... #ultrasound #renal
Asteroid Hyalosis- ...Slit-lamp examination of the left eye revealed multiple sparkling, white, globular, refractile, dotlike opacities
see source for video ... A diagnosis of asteroid ... the view of the retina ... #NEJM #clinical ... #slit #lamp #ophthalmology
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
vasodilation → ↓ renal ... perfusion + ↑ renal ... • Renal vasoconstriction ... Diagnosis (Clinical ... Normal kidney ultrasound