11 results
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... non-productive cough, nausea ... failure • Severe pulmonary ... Epidemiologic exposure + clinical ... #treatment #management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... / hypoxemia -> focus ... perfusion - shock->treatments ... before beginning treatment ... output - Acute pulmonary
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... & Dry) is the treatment ... the determined cause ... #algorithm #management ... #cardiology #treatment
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
noncompliance • Clinical ... initiation Clinical ... Lymphadenitis, pulmonary ... lymphadenitis, pulmonary ... leukoencephalopathy (PML), Confusion
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
treat the primary cause ... may not be the case ... #diagnosis #algorithm ... #management #clinical ... criticalcare #foamed #treatment
Iliotibial Band Friction Syndrome - MSK Radiology
Imaging Findings:
 • The iliotibial band (ITB) is thickened with
Case description ... • Treatment: Conservative ... Direct trauma/contusion ... #diagnosis #msk ... #clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... cardiomyopathy • Pulmonary ... #management #cardiology ... #treatment
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... See thread for POCUS ... seen in 34% of cases ... Electrocardiogram #clinical ... #cardiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... This patient’s clinical ... exam findings and clinical ... Pulmonary Contusion
Langerhans Cell Histiocytosis (LCH)

Granulomatous Lesions comprising langerin-positive histiocytes and an inflammatory infiltrate can arise in virtually
populations) CLINICAL ... • Pulmonary Symptoms ... Birbeck granules (EM ... DIAGNOSIS • Imaging ... TREATMENT OPTIONS