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diagnosis differential management infectiousdiseases cardiology rheumatology syndrome syndromes vasculitis abscess apml biphasic bradi bradycardia canimorsus capnocytophaga causes cayetanensis chestxray classification
Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
Disease: Jaundice + renal ... failure • Severe pulmonary ... manifestations • MAT microscopic ... #Leptospira #microbiology ... #diagnosis #treatment
Biphasic Illness of Leptospirosis Some patients do not progress to severe disease. Others, rapidly develop severe disease
Biphasic Illness of Leptospirosis ... -14 days): • Fever ... Weil's disease (renal ... dysfunction) • Pulmonary ... Questions @WuidQ #Leptospirosis
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis 90%: -
Pulmonary Renal ... other hemorrhagic fevers ... , Leptospirosis, ... Kumfer @AnnKumfer #Pulmonary ... #Renal #Syndromes
Lung Abscess Microbiology: • Polymicrobial • Anaerobes (most common) Clinical: • Indolent symptoms that evolve
Lung Abscess Microbiology ... to rnonths • Fever ... , hemoptysis Treatment ... Abscess #Diagnosis #Pulmonary
Non-Resolving Pneumonias: Etiologies Unusual Infections: - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia) - Endemic Fungi (e.g.: Histoplasmosis,
psittaci/avian, leptospirosis ... yersinia/rats, Q fever ... polyangiitis, microscopic ... Others: - Pulmonary ... abnormalities (Pulmonary
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Presentation (Pulmonary ... Cough, Dyspnea, Fever ... Renal Syndromes ... polyangiitis, Microscopic
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... polyangiitis), MPA (microscopic ... Renal Syndromes ... FINDINGS: • U/A: microscopic ... diagnosis #management #treatment
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Bradycardia • Renal ... Hyperkalemia Pulmonary ... Acute rheumatic fever ... • Yellow fever ... Babesiosis • Leptospirosis
Cyclosporiasis - Diagnosis and Management Summary Pathogen: • Cyclospora cayetanensis • Foodborne, waterbone, and soil-transmitted. •
diarrhea, Low-grade fever ... Established via stool microscopy ... Treatment: • TMP-SMX-DS ... diagnosis #management #treatment ... #microbiology #
Capnocytophaga Pathogen: Capnocytophaga • 9 species, C. canimorsus responsible for the majority of infections • Gram-negative rod,
• Cellulitis: Fever ... failure: CID, Renal ... Treatment: • 50% ... Capnocytophaga #canimorsus #microbiology ... diagnosis #management #treatment
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