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differential pulmonary management fuo oncology pneumonia treatment abdominal acquired aids bronchiectasis cap causes classification community cushings diagram emergencies endocrinology hematology
Fever of Unknown Origin (FUO) - Further Workup • CNS symptoms? Get an LP and imaging
FUO) - Further Workup ... • CNS symptoms ... Returning Traveler’ algorithm ... thin smear • Signs ... #diagnosis
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... for Workup of Fever ... ESR, +/- CRP • CT ... Neuroimaging • Echocardiogram ... #diagnosis
Venn Diagram - Does this patient have pneumonia? Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... infiltrate (e.g., CXR, CT ... Inflammation (e.g., fever ... - Pulmonary symptoms ... pain) and signs
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
- Differential Diagnosis ... • Pleuritic chest ... • CT: Halo sign ... Constitutional symptoms ... #differential #diagnosis
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... especially in areas ... is suspected: chest ... Hypercortisolism #Diagnosis ... #signs #symptoms
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... Other tests: • CT ... o infection • Echocardiogram ... or serologies + symptoms ... CT
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... full infectious work-up ... days → add fungal work-up ... Oncology #HemeOnc #Diagnosis
Rare Causes of Abdominal Pain • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Mediterranean Fever ... Mediterranean areas ... in the knee-to-chest ... Positive Carnett's sign ... #differential #diagnosis
Hodgkin's Lymphoma Overview Hodgkin's lymphoma (HL) is an uncommon hematological malignancy arising from mature B cells. It
• Dyspnea • Fever ... ingestion • B symptoms ... Hodgkin Lymphoma Workup ... Mediastinal mass) • CT ... physical exam, CT
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation Symptoms ... run-down or tired • Fevers ... Nasal polyps and signs ... parenchyma Diagnosis ... CT) • Broncho-arterial
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