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differential management infections infectiousdiseases treatment abscess amiodarone contusion edema extraarticular fungal hiv induced mycobacteria mycoses ncpe noncardiogenic nontuberculous ntm pathophysiology
Rheumatoid arthritis (RA): Extra-articular manifestations Skin: • Inflammation of skin (esp. over areas of stress) forms
blood vessels (vasculitis ... inflammation tends to cause ... interstitial lung ... disease/pulmonary ... signs #symptoms #diagnosis
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Diagnosis Framework ... multiplex • GI tract: Abdominal ... rhinitis/sinusitis, saddle ... tract, and often causes ... gut involvement, abdominal
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Autoimmune ANCA vasculitis ... hearing loss, saddle ... palpable purpura 2/2 vasculitis ... Goodpasture's cause ... sparing of the lung
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... • Most common cause ... pain, hemoptysis ... : • Vasculitis ... #Abscess #pulmonary
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
- Differential Diagnosis ... lymphadenopathy, • Abdominal ... Infections #HIV #AIDS ... #pulmonary #differential ... #diagnosis #infectiousdiseases
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework High Altitude Pulmonary Edema: • Accumulation
- Differential Diagnosis ... blood cells in the lung ... crackles in the right middle ... pain, cough ... #differential #diagnosis
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status NTM Cause ... Syndrome of right middle ... enzymes, diarrhea, abdominal ... pain, hepatomegaly ... • Dyspnea, • Chest
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... Direct cytotoxic lung ... organizing pneumonia, ARDS ... pain 5. ... Exclude other causes
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
3) Abdominal, ... muscle aches, joint pain ... , chest pain • ... yeast • At risk: AIDS ... change in the lungs
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... pain. ... consider intra-abdominal ... #Lung #Pulmonary
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