22 results
Borrelia recurrentis Infection - Spirochetes were visible (arrows), a finding that suggested louseborne relapsing fever #Clinical
louseborne relapsing fever ... Recurrentis #Smear #Microscopy ... #NEJM
Urinary Tract Tuberculosis - Contrast-enhanced computed tomography (CT) of the abdomen showed mild dilatation of the
computed tomography (CT ... excretory phase on CT ... Radiology #Pathology #CT ... AcidFastBacilli #Microscopy ... #NEJM
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... triad (<10%): fever ... eosinophiluria, microscopic ... Nephritis #AIN #Algorithm
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Differential Diagnosis Algorithm ... Red Flags: • Fever ... refer + order CT ... Differential #Diagnosis #Algorithm
Causes of Hemoptysis - Differential Diagnosis Algorithm
Massive Hemoptysis (>I00 mL in 24 hours)
 • Malignancy
 •
Differential Diagnosis Algorithm ... Malformation Normal CXR/CT ... Bronchitis Diffuse CT ... polyangiitis / microscopic ... Differential #Diagnosis #Algorithm
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... examination - Fever ... include cranial CT ... Delirium #Management #Algorithm
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Differential Diagnosis Algorithm ... • Rheumatic Fever ... polyangiitis (GPA)/microscopic ... • Rheumatic Fever ... Differential #Diagnosis #Algorithm
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... • Exercise • Fever ... polyangiitis (GPA) / microscopic ... Differential #Diagnosis #Algorithm
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Cough, Dyspnea, Fever ... polyangiitis, Microscopic ... resolution chest CT
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
cubic millimeter (reference ... agents, and the fever ... #NEJM #clinical