11 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... for Liver and Biliary ... 3) Chest: Loss ... physicalexam #cirrhosis #liver ... #disease #signs
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... Blood cultures • CXR ... ) • CXR upright ... decubitus - air fluid level ... #Abscess #pulmonary
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Diagnosis Framework Disease ... angioinvasive disease ... • CT: Halo sign ... lymphadenopathy, • Abdominal ... Infections #HIV #AIDS #pulmonary
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
(elevations of liver ... enzymes, diarrhea, abdominal ... Disease: Clinical ... • Dyspnea, • Chest ... Disease: • Clinical
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
or the anterior chest ... severity of the disease ... and ILD • Liver ... Liver biopsies show ... anti-NXP2 Abs Lung
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... renal failure Clinical ... e.g. incidental CXR ... , cough, chest pain ... heart (2-5%), liver
Sjogren's Syndrome Overview

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

Autoimmune exocrinopathy multisystemic disease
salivary ducts Clinical ... : • 10%-15% Pulmonary ... vasculitis: 10%-16% Liver ... hepatitis, primary biliary ... MALT Lymphoma • Lung
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Management Pneumonia Signs ... • Pleuritic chest ... Uremia (blood urea ... nitrogen level ... Management #treatment #Pulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Change in clinical ... change CV risk Chest ... unless prior heart/lung ... undergoing AAA or upper abdominal
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... x-ray (CXR), try ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver