21 results
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm

Peripheral Smear concerning for malignancy?
hematologic: Acute blood ... Rebound effect from treatment ... Inflammatory Conditions: Rheumatologic ... , TB, Acute bacterial ... Matthew Ho, MD PhD
Radial Head Elbow Fracture with displaced Fat Pads
Intra-Articular Fracture of the Elbow with displaced fat pads
If the fat pads ... considerable amount of blood ... called the “Sail sign ... trauma #clinical #radiology ... #msk #hemarthrosis
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
infections (bacterial ... tumor • Non-bloody ... If that patient had ... #Joint #Pain #MSK ... #rheumatology #
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
with Preserved Ejection ... Fraction: Management ... Central aortic blood ... #Cardiology #HFpEF ... dCHF #Diastolic #Treatment
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... posterior fat pad ... can't make A-OK sign ... Elbow #Humerus #Radiology ... #Orthopedics #MSK
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... Radiology Imaging ... mass and NO prior signs ... mri #clinical #Radiology ... #rheumatology
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
Phagocytosis of blood ... CMV, HHV8,...), Bacteria ... Lymphohistiocytosis #diagnosis #management ... #treatment #summary ... #rheumatology
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... posterior fat pad ... fracture • ED Management ... Fracture #Elbow #Radiology ... #Orthopedics #MSK
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
ascitic fluid in blood ... Treat if other signs ... ↓ rebleeding, infections ... SBP #diagnosis #management ... #prophylaxis #treatment
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
FNHTR once had ... very rare), or bacterial ... • Bacterial contamination ... Transfusion #diagnosis #management ... #hematology #reactions