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diagnosis differential management erythematosus infections infectiousdiseases lung lupus sle vasculitis workup arteritis arthritis autoantibodies autoimmune bronchiectasis causes classification clinical crazy
Systemic Sclerosis (Scleroderma) Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs 3
autoimmune disease ... skin thickening Signs ... (interstitial lung ... Scleroderma #SSc #rheumatology ... #diagnosis #signs
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
IgG4-Related Disease ... female, asian • Systemic ... biliary, renal, lung ... concentration PET-CT ... workup #treatment #rheumatology
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
sx + signs/sx of ... in literature (NEJM ... cases (Cornelia NEJM ... them, but urgent rheumatology ... #Temporal #Signs
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
effusion, Restrictive lung ... pain (20%) Renal disease ... erythematosus #signs ... #symptoms #diagnosis ... #rheumatology
Systemic Lupus Erythematosus - Diagnosis Manifestations: - Arthritis 69% - Malar rash 40% - Fever 36% -
Systemic Lupus Erythematosus ... Myositis 4% - Lung ... autoantibodies #signs ... #symptoms #mimickers ... #differential #rheumatology
Crazy Paving on Chest CT • Thickened interlobular septa in a background of diffuse GGO's. •
Paving on Chest CT ... mucinous adeno Ca ... pna, pulm hge, ARDS ... Crazy #Paving #Sign ... #CT #Lung #Pulmonary
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework High Altitude Pulmonary Edema: • Accumulation
blood cells in the lung ... respiratory failure or ARDS ... • Signs/Symptoms ... • Signs/Symptoms ... - The classic signs
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
progressing GN • New pulmonary ... and branches • GCA ... Symptoms (Sx) in ... purpura: strong sign ... differential #diagnosis #rheumatology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Symptoms (SX) in ... purpura: Strong sign ... Elevated ESR and CRP GCA ... develop in pts with GCA ... Differential #Diagnosis #Rheumatology
Rheumatoid Arthritis - Signs and Symptoms • Ocular: Keratoconjunctivitis sicca, Episcleritis, Scleritis, Scleromalacia perforans • Pulmonary:
Rheumatoid Arthritis - Signs ... Scleromalacia perforans • Pulmonary ... : Parenchymal lung ... Arthritis #RA #Signs ... #rheumatology
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