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management dermatology pulmonary rheumatology antimda5 antimda5dm antinxp2 antinxp2dm bronchiectasis cardiology challenges contusion criticalcare differential extraarticular fluid heartfailure hfref pathophysiology pharmacology
ANTI-MDA5 DERMATOMYOSITIS Cutaneous manifestations: • Periorbital heliotrope (blue-purple) rash with edema • Erythematous rash on the face, or the
(in a V-sign), ... shoulders (in a shawl sign ... Inverse Gottron’s sign ... anti-NXP2 Abs Lung ... #dermatology #diagnosis
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
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
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... granulomas within the lungs ... e.g. incidental CXR ... dyspnea, cough, chest ... #Management #Signs
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 ... dorsal part of the MCP ... Non-small-cell lung
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
blood flow in the chest ... precede other signs ... reservoir of ~300 ml ... Tolerance #testing #diagnosis ... #criticalcare #comparison
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This post will focus ... x-ray (CXR), try ... not seen on a CXR ... #Lung #Pulmonary
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