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management differential hepatology hepatopulmonary pulmonary arteritis b12 bloodsmear borrelia bronchiectasis cirrhosis cobalamin deficiency encephalopathy gca giantcell hps microscopy neurology pathology
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
initiation of nutrition ... severe clinical ... overload) Other Symptoms ... hyperparathyroidism Treatment ... #Diagnosis #Pathophysiology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal Syndromes ... or serologies + symptoms ... Goodpasture's cause ... sparing of the lung ... #management #treatment
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation Symptoms ... Most Common Causes ... in the adjacent lung ... Laboratory: • ANA ... mycobacteria Treatment
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Neurological symptoms ... circulation: MCA ACA ... the underlying cause ... • Treatment of ... with AEDs until cause
Syphilis - Clinical Manifestations and Treatment 1) Primary Syphilis • Direct lesion contact during sex is responsible
Syphilis - Clinical ... responsible for most cases ... Albuminuria, nephrotic syndrome ... infected without symptoms ... Syphilis #stages #diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... absence of intrinsic lung ... disease Caused ... shunt (Type 2) Clinical ... resolution of symptoms
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
: • Vit B12 - aka ... • Common Causes ... intrinsic factor, IF) Clinical ... Check for IF ab Treatment ... #management #nutrition
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Similar symptoms ... Syndrome: 3d of ... Assc symptoms include ... LBRF can be diagnosed ... microscopy #pathology #clinical
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... Diagnosis = clinical ... of the steroid treatment ... Treatment of GCA ... day, followed by long
Relapsing Polychondritis What is it? Recurrent inflammation of the cartilage in the body (Autoimmune disorder) Who? • Most frequently: 40
ethnicities Symptoms ... the most common clinical ... + Nonspecific symptoms ... Large vessels (aorta ... affected tissue Treatment
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