61 results
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
first, then try straps ... irritation, pressure sores ... → adjust straps ... Troubleshooting #Tips #management ... #problems #pulmonary
Rapidly Progressive Glomerulonephritis (RPGN)
RPGN has three primary pathophysiologic causes differentiated by immunofluorescence

Immune Complex Mediated (granular staining):
pathophysiologic causes ... Complement: Post-strep ... With associated pulmonary ... diagnosis #algorithm #rheumatology
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... leading to increased pulmonary ... consistent with pulmonary ... there is no clear cause ... the underlying cause
Diagnosing Vitamin B12 and/or Folate Deficiency

It turns out that simply measuring serum levels of B12 or
with low B12 stores ... normal tissue stores ... the first line tests ... tissue folate stores ... Diagnosis #Nutrition #Hematology
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Prognostication based on scores ... class (30-day all cause ... @nickmmark #Pulmonary ... prognostication #diagnosis #management
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Secretions - Next Steps ... Distention - Next Steps ... Treat underlying cause ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
Iron Deficiency Anemia (IDA)
Tests:
 • MCV/RBC - RBC ↓ in proportion to the ↓ in hemoglobin
Anemia (IDA) Tests ... total body iron stores ... Fe #diagnosis #hematology
Hydroxychloroquine Serum Measurement in SLE
 • Terminal elimination half-life = 40 days ([HCQI reflects long-term intake)
if < 200ng/mL Best ... suspected) • In case ... • Special cases ... Measurement #SLE #rheumatology ... levels #lupus #management
Allopecia - Differential Diagnosis Framework for Hair Loss

Localized / Focal Hair Loss Pattern:
 • Scarring Alopecia:
Lithium • Stress ... disease • Pull test ... Scaling, pustules, crusts ... texture at bald spots ... Initial Laboratory Tests
Systemic Lupus Erythematosus - Summary
Antinuclear (ANA) - 95% - Initial screening test
Anti-dsDNA - 50%
 • Associated
Initial screening test ... Hydroxychloroquine *Short ... Summary #diagnosis #rheumatology ... #management