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management differential hematology algorithm rheumatology cardiology causes liver pulmonary blood cirrhosis disease gastroenterology hepatitis hepatopulmonary infectiousdiseases injury product reactions syndrome
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
IgG4-Related Disease ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT ... hypergammaglobulinemia, ↑ acute
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
• Secondary to chronic ... lung disease (COPD ... • Pulmonary hypertension ... • Oxygen • Treatment ... MAT #Cardiology #Diagnosis
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... months without treatment ... underlying liver disease ... Brain Failure Lung ... Failure #Cirrhosis #Hepatology
Causes of Thrombocytosis - Differential Diagnosis Algorithm Spurious: • Artifact (redo CBC) Autonomous: • Essential thrombocytosis • Polycythemia
- Differential Diagnosis ... Infectious: • Acute ... or Chronic Inflammatory ... disorders • Celiac disease ... effect following treatment
Right-Sided Heart Failure - Differential Diagnosis Algorithm Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... • Diffuse Lung ... Acute Respiratory ... Lung Infection ... Pulmonary Arterial Hypertension
Chronic Pancreatitis Definition: A pathologic fibroinflammatory syndrome of the pancreas in individuals with genetic, environmental, and/or other
Chronic Pancreatitis ... syndrome of the pancreas ... • 1st line: CT ... EmoryGastroHep #Chronic ... gastroenterology #treatment
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm Peripheral Smear concerning for malignancy?
- Differential Diagnosis ... Rebound effect from treatment ... Vasculitides, IBD, Celiac disease ... • Infections: Chronic ... #Differential #Diagnosis
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... pneumonia • Chronic ... seen • Chest CT ... hemorrhage • Treatment ... several months of treatment
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... Torsemide) • Acute ... Metolazone) • Hypertension ... hyperaldosteronism • Acute ... Tolvaptan) • Treatment
Portopulmonary Hypertension Presence of pulmonary arterial hypertension in a patient with portal hypertension No other obvious causes (chronic
obvious causes (chronic ... lung disease, left ... heart disease, ... pressure < 15mmHg TREATMENT ... #hepatology
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