21 results
Pulsatile AAA on Abdominal Exam

A 66-year-old man presented with a 2-month history of abdominal bloating and
mass, which CT ... to be a large aortic ... PhysicalExam #Aneurysm #Aortic ... #Aorta #Clinical ... #Video #NJEM #vascular
Vasculitis - Break down based on vessel size 
Distribution of vessel involvement by large vessel vasculitis,
Vasculitis - Break ... of vessel, from aorta ... left to right) aorta ... Anti-GBM = anti–glomerular ... #Diagnosis #Rheumatology
Accuracy of abdominal ultrasound for the diagnosis of small bowel obstruction in the emergency department

https://www.ncbi.nlm.nih.gov/pubmed/30181794

Our data
ultrasound for the diagnosis ... CT, and a sensitivity ... CT and discharge ... diagnosis. ... VisualAbstract #EBM
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... glomerulonephritis) • Anti-GBM ... - GI tract: abdominal ... < 30 years - Aorta ... Supply gut -> abdominal
Decompression Sickness - The physical examination revealed diffuse violaceous skin mottling over his trunk and arms
lactate level, abdominal ... Clinical #Derm #EM ... #Pneumatosis #CT ... #NEJM
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
- Differential Diagnosis ... Artery Stenosis, Abdominal ... Emboli, Thrombosis, Vasculitis ... GN: ANCA, Anti-GBM ... #Differential #Diagnosis
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... ANCA-positive vasculitis ... anti-ANCA ab, anti-GBM ... resolution chest CT ... #differential #diagnosis
Salmonella Aspiration on Microscopy

66 y/o male with history of coronary artery disease presents with abdominal pain.
presents with abdominal ... CT abd/pelvis shows ... an abdominal aortic ... Diagnosis ?
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Diagnosis Framework ... < 30 years • Aorta ... Arteritis): • Aorta ... multiplex • GI tract: Abdominal ... gut involvement, abdominal
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Aortoenteric Fistula - Diagnosis ... triad: Bleeding, abdominal ... , and palpable abdominal ... Not reliable, so diagnosis ... • CT findings