49 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Renal Syndromes ... high resolution chest ... #Renal #Syndrome ... #differential #
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
Pulmonary Renal ... - Differential ... Kumfer @AnnKumfer #Pulmonary ... #Renal #Syndromes ... #Mimics #Differential
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... Renal Syndromes ... confirm DAH, r/o infection ... #Renal #Syndromes ... #differential #
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
hematogenous spread of a disease ... Endemic fungi: Histo ... thyroid, melanoma, renal ... #diagnosis #pulmonary ... #CXR #clinical
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Clinical Classification ... - HIV infection ... pulmonary disease ... mediastinitis, chronic renal ... Classification #Diagnosis #Differential
Causes of Peripheral Weakness without Sensory Changes - Differential Diagnosis Algorithm
No Objective Weakness
 • Cardio-pulmonary disease
Weakness • Cardio-pulmonary ... disease • Anemia ... • Chronic Infection ... Lambert-Eaton Myasthenic Syndrome ... Peripheral #Weakness #Neurology
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Metabolic • Renal ... • Malignancy Infectious ... Chronic Obstructive Pulmonary ... Disease Neurologic ... Chronic Fatigue Syndrome
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... /- High res CT chest ... Cryptococcal Ag, Urine Histo ... Diseases Fellows ... diagnosis #evaluation #differential
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
arthralgias, CV, renal ... Hypereosinophilic Syndrome ... , CNS, skin • Infectious ... #pulmonary #differential ... #diagnosis #comparison
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Connective tissue diseases ... • Mounier-Kuhn syndrome ... dyskinesia • Young syndrome ... , in advanced disease ... #differential #