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management dermatomyositis rheumatology antimda5 antimda5dm antinxp2dm cabcde challenges comparison criticalcare pediatrics primary responsiveness survey testing tolerance trauma
Pediatric Trauma Primary Survey: C-ABCDE C - Catastrophic Bleeding - Life-threatening hemorrhage • Apply direct pressure/compression bandage
Apnea/poor effort, Signs ... Binder) • Use POCUS ... ↓ BP is a late sign ... no response to fluids ... normalized vital signs
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 ... predicts FR by Nick ... Tolerance #testing #diagnosis
Anti-NXP-2 Dermatomyositis What? DM with generalized subcutaneous edema Pts have more myalgias, more severe weakness, and an increased prevalence
weakness in the neck ... or the anterior chest ... (in a V-sign), ... shoulders (in a shawl sign ... #rheumatology #dermatology
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 ... #diagnosis
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