57 results
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Acute Kidney Injury ... urinalysis, labs - Management ... urinalysis, renal biopsy ... - Management: ... Acute #Kidney #Injury
Thoracic Trauma - Lethal 6 and Hidden 6 of Thoracic Trauma
The Lethal 6 of Thoracic Trauma:
Tamponade • Flail Chest ... • Esophageal Injury ... Blunt Cardiac Injury ... Thoracic #Trauma #diagnosis ... #management #injuries
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Endomyocardial biopsy ... intolerance • Chest ... cardiac death Management ... #Management #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
acute cardiac injury ... VF, Myocardial injury ... #Myocarditis #diagnosis ... #management #cardiology ... #summary #biopsy
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Dysphagia, Epigastric/chest ... pain, Sepsis Diagnosis ... EGD and Biopsy ... black #esophagus #diagnosis ... #management #gastroenterology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
quantify renal injury ... Other tests: • CT ... of PRS: Biopsy ... CT ... #management #treatment
Pulmonary Nodule
Evaluation is guided by nodule size & assessment of probability of malignancy. In addition is
yield of available diagnostic ... Management options ... imaging, nonsurgical biopsy ... transthoracic needle biopsy ... 70% to 90% for a diagnosis
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
in literature (NEJM ... temporal artery biopsy ... Biopsy identifies ... cases (Cornelia NEJM ... #Management
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
concentration PET-CT ... Imaging (→ Diagnostic ... orientation, Biopsy ... (new biopsy+++) ... #management #phenotypes
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
Tuberculosis - Diagnosis ... and Management ... involvement - CT ... or excisional biopsy ... #Management #Summary