9 results
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... hepatitis • Pulmonary ... : pleural effusion ... Disease #diagnosis #management ... #treatment #rheumatology
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
failure • Severe pulmonary ... Epidemiologic exposure + clinical ... agglutination - test ... microbiology #diagnosis #treatment ... #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Liver function tests ... edema - Large effusion ... (no B-lines on ultrasound ... Revascularization, treatment ... #HeartFailure #Cardiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
shunt (Type 2) Clinical ... 10 minutes of rest ... scanning or pulmonary ... ) on room air Treatment ... #treatment #hepatology
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
nodules, joint effusions ... narrowing) • Ultrasound ... Diagnosis: CLINICAL ... exam and imaging Treatment ... #rheumatology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... & Dry) is the treatment ... differential #algorithm #management ... #cardiology #treatment
Acute Recurrent Pericarditis
= recurrence of Acute Pericarditis (AP) after free interval >4-6 weeks without symptoms, >1/4
onset, Abundant effusion ... Systemic symptoms: pulmonary ... Pericarditis #diagnosis #management ... #treatment #rheumatology ... #cardiology
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
salivary ducts Clinical ... thickening or effusion ... Adenocarcinoma Treatment ... Sjogrens #Syndrome #Rheumatology ... #Diagnosis #Management
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
- Ultrasound ... needed to exclude effusion ... suspected Adiunctive treatments ... lab-confirmed influenza, pulmonary ... Influenza #Checklist #Management