2247 results
Systemic Lupus Erythematosus - Diagnosis
Manifestations:
 - Arthritis 69%
 - Malar rash 40%
 - Fever 36%
 -
15-30% - Anti-Sm ... (aPL) 30-45% Differential ... symptoms #mimickers #differential
Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
 • Homogeneous pattern: 
   -
UCTD - Smith, Sm ... Cytoplasmic #Patterns #differential
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... anti-La/SSB, anti-Sm ... #Weakness #Differential
Antinuclear Antibody Testing - Nuclear Patterns
Homogeneous pattern: 
 • SLE, SSc, AIH, JIA
 • dsDNA, chromatin,
UCTD • Smith, Sm ... Nuclear #Patterns #differential
Trichomonas on Urine Microscopy
Trichomonas organism adjacent to WBC’s and a macrophage - brightfield with SM stain
brightfield with SM
Trichomonas on Urine Microscopy

Trichomonas organisms adjacent to mixed cellular cast containing WBC's, tubular epithelial cells, and
brightfield with SM
Fernando SM et al. Prognostic Accuracy of the Quick Sequential Organ Failure Assessment for Mortality in
Fernando SM et al
SLICC SLE Diagnostic Criteria - Systemic Lupus Erythematosus
Clinical and Immunologic Criteria

CLINICAL CRITERIA
 - ACUTE CUTANEOUS LUPUS
ELISA) - Anti-Sm ... of antibody to Sm
I’M DAMN SHARP - Lupus Diagnosis Mnemonic
I  	 Immunoglobulins (Anti-dsDNA, Anti-Sm, Anti-phospholipid)
M 	 Malar Rash
D
Anti-dsDNA, Anti-Sm
Urine Microscopy - Urinary Sediment Examination Instructions
Preparation of the urine for microscopic examination:
 • Clean catch
Add one drop of SM ... been stained with SM ... will displace any SM ... when used with SM