14 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... 1) 2+ flares/year ... 2) Gouty tophi ... #diagnosis #management ... treatment #ULT #rheumatology
AAA is defined as a localized balloon-like dilatation of the abdominal aorta greater than 3cm. Risk
aorta greater than ... greater than 1cm/year ... move the bowel out ... #Ultrasound #AAA ... Aortic #Aneurysm #Aorta
AAA Endoleak on POCUS

80 y/o w severe abdominal pain, one year after endoprosthesis stent of an
80 y/o w severe abdominal ... pain, one year ... endoprosthesis stent of an abdominal ... AAA #clinical #aorta ... #ultrasound #vascular
Abdominal Aortic Aneurysm (AAA) on POCUS

69 y/o smoker presents to outpatient clinic for inhaler refill. Out
Abdominal Aortic ... Out of care >10 ... Global Ultrasound ... globalultrasou1 #AAA #Abdominal ... Aneurysm #POCUS #aorta
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... not possible • Ultrasound ... 2 attacks in a year ... #diagnosis #management ... #treatment #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- GI tract: abdominal ... < 30 years - Aorta ... well as inner ear ... -> abdominal pain ... differential #diagnosis #rheumatology
Gout - Management
Acute Gout Flare
 1) colchicine, NSAIDs, glucocorticoids
 2) Anakinra (IL-1 inhibitor)
When to Start Urate
Gout - Management ... Acute Gout Flare ... /year 4) consider ... #Management #treatment ... #rheumatology
Perimortem Hysterotomy Instructions

Do 4 minutes into arrest if uterus above the umbilicus

1. Manage Arrest
 • Compressions,
to reduce IVC/aorta ... • Push head out ... , baby to peds team ... Obstetrics #Emergency #management
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
< 30 years • Aorta ... Arteritis): • Aorta ... purpura, joint & gut ... involvement, abdominal ... Differential #Diagnosis #Rheumatology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Giant retinal tears ... • Nonsurgical abdominal ... Syndrome #diagnosis #management ... signs #symptoms #rheumatology