22 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Hematuria, Hemoptysis, Peripheral ... Differential Diagnosis ... polyangiitis, Microscopic ... #differential #diagnosis
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm

Peripheral Smear concerning for malignancy?
Algorithm Peripheral ... Smear concerning ... hematology for workup ... Rebound effect from treatment ... Kawasaki, Nephrotic syndrome
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
polyangiitis), MPA (microscopic ... mononeuritis multiplex WORKUP ... sparing of the lung periphery ... FINDINGS: • U/A: microscopic ... #management #treatment
Myelodysplastic Syndromes (MDS)

What?
Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
formed or don’t work ... Smear: • Dysplastic ... Workup: • Complete ... blood smear • ... #diagnosis #hematology
Fever vs Hyperthermia
Fever:
 • Regulated in the hypothalamic thermoregulatory center
 • "Set point" raised by prostaglandin
Neuroleptic malignant syndrome ... ; Serotonin syndrome ... as they lead to peripheral ... #Hyperthermia #comparison ... #diagnosis #management
A 37-year-old woman initially presented with pancytopenia and found to have leukopenia (2.1 × 103/μL) with
She was diagnosed ... hospitalization and treatment ... , her peripheral ... blood smear showed ... #Microscopy #Auer
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
ACTIVE TB AFB smear ... microscopy • Testing ... of a NAAT on a smear-positive ... used to exclude pulmonary ... #Workup #TB #Latent
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... bore (18-gauge) peripheral ... Tamponade - Pulmonary ... #criticalcare #treatment ... #workup
Chronic Lymphocytic Leukemia - Summary

Cancer affecting lymphocytes/Mature B cell neoplasm
 • Lymphocytes accumulate in large numbers
cytometry • Peripheral ... smear: Smudge cells ... microglobulin Treatment ... • Richter’s Syndrome ... #workup #oncology
Atypical HUS - Hemolytic Uremic Syndrome
Unlike typical HUS, which is shigatoxin mediated, aHUS is not typically
Hemolytic Uremic Syndrome ... renal, cardiac, pulmonary ... schistocytes on peripheral ... smear, and obtain ... #diagnosis