19 results
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
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- Heliotrope sign ... or shawl sign ... and scale - Holster ... Dermatomyositis #Diagnosis ... #Rheumatology
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
heliotrope rash, Shaw sign ... , holster sign, ... /full triad at diagnosis ... Around half of anti-SRP ... #rheumatology
Intramuscular Calf Hematoma on POCUS
80 y/o older man. CAD + DAPT.  Working on fishing boat.
Hematoma on POCUS ... 80 y/o older man ... signs, but demonstrating ... this case empiric AC ... #msk #ultrasound
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Eosinophilia, 500-1,500 cells ... Hypereosinophilia, >1,500 cells ... organ-specific signs ... #Differential #diagnosis ... #hematology #eosinophilia
Metatarsal Gout on POCUS

Painful and swollen 1st metatarsal. Double contour sign. Diagnosis? Gout. 

Global Ultrasound Institute
Metatarsal Gout on POCUS ... Double contour sign ... Diagnosis? ... Gout #Metatarsal #POCUS ... #clinical #rheumatology
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA)

1) Is visual loss caused
vision in patients older ... Doppler US : halo sign ... GiantCellArteritis #GCA #Rheumatology ... Ophthalmology #Diagnosis
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... mass and NO prior signs ... - **MSK rads ... Differential diagnosis ... #msk #rheumatology
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Too many cells in ... Better call hematology ... and MPNs (MPL, CALR ... a good idea to call ... Algorithm #workup #hematology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
breathlessness (half-marathon ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical
Chronic Lymphocytic Leukemia - Summary

Cancer affecting lymphocytes/Mature B cell neoplasm
 • Lymphocytes accumulate in large numbers
Affects mainly older ... Physical Exam/Signs ... phenomenon CLL Diagnosis ... Lymphocytic #Leukemia #diagnosis ... workup #oncology #hematology