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Suggested Treatment Algorithms for the Management of Polymyalgia Rheumatica and Giant Cell Arteritis

#Management #Algorithm #GCA #PMR
Suggested Treatment ... Algorithms for ... #Management #Algorithm ... #GCA #PMR #Polymyalgia ... Steroid #Taper #Treatment
Vasculitis Management - ACR/VF 2021 Guidelines for Treatment & Management
 • Giant Cell Arteritis (GCA)
 •
Guidelines for Treatment ... Polyarteritis Nodosa (PAN ... pubmed.ncbi.nlm.nih.gov/34235884/ PAN ... Vasculitis #Management #Treatment ... ACR2021 #Guidelines #algorithm
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
) + ascites w/ PMN ... > 250 • Treatment ... 100 WBC, >50% PMNs ... Positive Culture • Treatment
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 •
Infection • Neuro: UMN ... stroke, tumor), LMN ... inclusion body-), PMR
Polyarteritis Nodosa (PAN) - Vasculitis Management Algorithm - ACR/VF 2021 Guidelines
 • Severe Disease → Remission
Polyarteritis Nodosa (PAN ... Vasculitis Management Algorithm ... @MithuRheum #PAN ... Vasculitis #Management #Treatment ... ACR2021 #Guidelines #algorithm
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
involving both UMN ... , LMN and brainstem ... combination of UMN ... and LMN signs in ... diagnosis column Treatment
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Calculate absolute PMN ... count (total WBC x PMN ... %) • Correct PMN ... RBCs (subtract 1 PMN ... #prophylaxis #treatment
Incomplete spinal cord syndromes (ISCS)
 • Central - Small Lesion - Suspended sensory deficit, classic cape
lower extremities, LMN ... small band of LMN ... paraparesis (mixed UMN ... and LMN types) ... weakness (purely LMN
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... ascites WBC and PMN ... Differential #Diagnosis #Algorithm
Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
Bilateral LMN palsy ... differentiates this from an UMN ... fasciculations #LMN