SSS clinical - GrepMed

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Subclavian steal syndrome (SSS)
Subclavian artery narrowing or oclussion near the proximal portion of the vertebral

steal syndrome (SSS ... subclavian artery Clinical ... presentation (SSS ... steal #syndrome #SSS

Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
• Homogeneous pattern:
-

, SLE, DM, SSc, ... PM/SSc OS, MCTD, ... -52 (Ro52), SSA- ... 60 (Ro60), SSB ( ... , PBC/SSc OS

Autoantibodies in Rheumatology
• Lupus (SLE): ANA (anti-nuclear antibody), dsDNA (double-stranded DNA), Anti-Smith, Anti-Ro (SSA) and

Anti-Smith, Anti-Ro (SSA ... ) and Anti-La (SSB ... Syndrome: Anti-Ro (SSA ... ), Anti-La (SSB) ... Systemic Sclerosis, SSc

Colonoscopy Followup Intervals
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <

-10 years: 1-2 SSPs ... adenomas, 5-10 SSPs ... , Adenoma or SSP ... grade dysplasia, SSP ... 10 adenomas SSPs

Antinuclear Antibody Testing - Nuclear Patterns
Homogeneous pattern:
• SLE, SSc, AIH, JIA
• dsDNA, chromatin,

, SLE, DM, SSc, ... PM/SSc OS, MCTD, ... -52 (Ro52), SSA- ... 60 (Ro60), SSB ( ... , PBC/SSc OS •

Antinuclear antibodies and Systemic lupus
Anti-dsDNA 60-80% Association with disease activity (when with Farr assay) and lupus nephritis. Can

lupus (90%) Anti-SSA ... 30-40% Target: SS-A ... Sjogren Anti-SSB ... -15% If SLE is clinically ... Associated with SLE-SSc-AlM

Connective tissue disease-associated interstitial lung diseases

LIP: lymphoid interstitial pneumonia. NSIP: nonspecific interstitial pneumonia. OP: organizing pneumonia.

SSc: systemic sclerosis ... PSS: Sjogren syndrome

Erythematous Rashes - THE ALGORITHMIC APPROACH

Characterized by diffuse redness of the skin due to
capillary congestion, erythematous

skin syndrome (SSS ... shock syndrome (TSS

ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,

Scarlet fever, TSS ... (Strep/Staph), SJS ... or Pustular: SJS

Stevens-Johnson syndrome (SJS), Toxic epidermal necrolysis (TEN) and Overlap

SJS-TEN overlap and TEN - Surface Epidermal

Stevens-Johnson syndrome (SJS ... and Overlap SJS-TEN ... Distinguishing Features #SJS

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