15 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... Therapy (ULT): 1) ... flares/year 2) Gouty ... NUIM_Chiefs #gout ... #diagnosis #management
Uric Acid Homeostasis
In the liver, purines are metabolized to uric acid. The last step in purine
Uricase is not present ... The gout drug pegloticase ... eliminate about 1/ ... #Homeostasis #Gout ... #Medications #Management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... to Manifest: 1. ... • Dual-energy CT ... in a year • 1 ... #diagnosis #management
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Pregnancy test rule out ... thromboembolic disease, breast ... endometrial path0100' or breast ... long-term therapy #AUB ... Uterine #Bleeding #Management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute onset over 1 ... be detected on CT ... should be ruled out ... Management ● Early ... ● Supportive management
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
Diagnosis and Management ... from TB endemic areas ... - 1-5% of patients ... involvement - CT ... TB #Diagnosis #Management
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Diagnosis and Management ... Epidemiology: • #1 ... equivocal • CT ... • KUB ↓↓Sens ... 10 mg/kg IV x 1
Gout - Management
Acute Gout Flare
 1) colchicine, NSAIDs, glucocorticoids
 2) Anakinra (IL-1 inhibitor)
When to Start Urate
Gout - Management ... 1) colchicine, ... When to Start Urate ... or urolithiasis Urate ... #Management #treatment
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Affects 1:25,000 ... and 1:50,000 patients ... - gastric and breast ... Chest CT: • Ground-glass ... and M panel Management
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Diagnosis and Management ... Diagnosis (2 of 3): 1) ... , gallstones), CT ... hemorrhage Management ... Check out https: