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management pulmonary rheumatology addisons antinxp2 antinxp2dm bronchiectasis cardiology challenges contusion criticalcare dermatology dermatomyositis differential disease endocrinology erythematosus extraarticular fluid heartfailure
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
: • Lung cancer ... vomiting • Fatigue Signs ... Cortisol Deficiency: Signs ... Reduced libido • Signs ... #signs #symptoms
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... of CXR congestion
Rheumatoid arthritis (RA): Extra-articular manifestations Skin: • Inflammation of skin (esp. over areas of stress) forms
friction rub audible Lungs ... pleural effusion on CXR ... cause interstitial lung ... pathophysiology #signs ... #symptoms #diagnosis
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Purpura, Urticaria Chest ... effusion, Restrictive lung ... Abdominal pain (20%) Renal ... erythematosus #signs ... #symptoms #diagnosis
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... , and possibly renal ... e.g. incidental CXR ... dyspnea, cough, chest ... #Management #Signs
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation Symptoms ... Nasal polyps and signs ... in the adjacent lung ... of the affected lung ... parenchyma Diagnosis
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
lower risk of renal ... precede other signs ... reservoir of ~300 ml ... Tolerance #testing #diagnosis ... #criticalcare #comparison
Anti-NXP-2 Dermatomyositis What? DM with generalized subcutaneous edema Pts have more myalgias, more severe weakness, and an increased prevalence
or the anterior chest ... (in a V-sign), ... shoulders (in a shawl sign ... • Clear cell renal ... Non-small-cell lung
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary
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