15 results
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Differential Diagnosis ... Myocarditis - CAD ... Pericardium: - Pericarditis ... • Pleura: - Effusion ... #Differential #Diagnosis
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... has pericardial effusion ... Had echo done one ... with similar peri effusion ... Had diagnostic tap-fever
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Differential Diaqnoses ... TMA • Cardiac: pericarditis ... Pulmonary: pleural effusion ... Stills #Disease #diagnosis ... management #treatment #rheumatology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... She had gained 15 ... circumferential pericardial effusion ... of constrictive pericarditis ... expiration not meeting diagnostic
Differential Diagnosis for Hemolytic Anemia
Intrinsic Causes:
 • Enzyme deficiencies ex. G6PD, pyruvate kinase 
 • Hemoglobinopathies
Differential Diagnosis ... SCD, thalassemias ... bites • IVIG infusion ... #Differential #Diagnosis ... classification #hematology
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... Heart failure - CAD ... • Pleura: - Effusion ... Transverse myelitis • Hematology ... #differential #diagnosis
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
50%): Pleurisy / effusion ... syndromes Heart (25%): Pericarditis ... signs #symptoms #diagnosis ... #rheumatology
Top 10 situations when to think about lupus
1) Inflammatory joint pain (especially in the wrists and
many differential diagnoses ... 4) Always with pericarditis ... sometimes « viral pericarditis ... including in children (pediatric ... erythematosus #rheumatology
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
- Differential Diagnosis ... flare, Pleural effusion ... Tumor, Pleural effusion ... Anemia, Arrhythmia, Pericarditis ... , CAD, HFrEF/HFpEF
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus
Clinical Domains:
 • Constitutional domain: Fever
 • Cutaneous domain: Non-scarring
or pericardial effusion ... , Acute pericarditis ... Erythematosus #diagnosis ... #rheumatology