22 results
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... defining feature, PRS can ... of DAH) RENAL FINDINGS ... #differential # ... diagnosis #management
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... can occur weeks ... Diagnosis for Pulmonary ... BAL → confirm DAH ... #differential #
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... can be helpful ... #Diagnosis #PACatheter ... #NormalValues #Differential ... #Table #Chambers
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... dehydration due to renal ... Vascular → PE, PAH ... #Diagnosis #table ... #comparison #criticalcare
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Diagnosis Algorithm ... Metabolic • Renal ... Epstein-Barr Virus ... Chronic Obstructive Pulmonary ... Myasthenia Gravis Pharmacologic
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... #inopressors #diagnosis ... #management #comparison ... #table
Conjunctival Pigmented Lesions: Diagnosis and Management
Pigmented lesions that arise from the conjunctiva include nevus, complexion-associated melanosis
acquired melanosis (PAM ... is essential to differentiate ... #Diagnosis #Management ... Conjunctival #Lesions #PAM ... #Comparison #Table
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
arthralgias, CV, renal ... Lung #Diseases #pulmonary ... #differential # ... diagnosis #comparison ... #table #eosinophilia
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Imaging: CXR- pulmonary ... initiation • Differential ... (sepsis), PE, DAH ... Anaphylaxis, Acute Renal ... #management #hematology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Delirium: assess (CAM-ICU ... , bradycardia. renal ... No pharmacologic ... #CriticalCare #diagnosis ... #management