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diagnosis differential management infectiousdiseases rheumatology clinical cardiology causes lung renal stercoralis strongyloides syndromes abscess algorithm endocarditis oncology vasculitides amiodarone apml
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis 90%: -
Pulmonary Renal ... ANCA Associated Vasculitis ... other hemorrhagic fevers ... , Leptospirosis, ... Kumfer @AnnKumfer #Pulmonary
Small Vessel Vasculitides • Granulomatosis with polyangiitis - Granulomatous manifestations (e.g., nasal crusting, destructive sinusitis, pulmonary
Small Vessel Vasculitides ... destructive sinusitis, pulmonary ... retroorbital mass) • Microscopic ... and Sjogren's syndrome ... • IgA vasculitis
Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
Leptospirosis Pathogen ... failure • Severe pulmonary ... manifestations • MAT microscopic ... #Leptospira #microbiology ... #diagnosis #treatment
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Cough, Dyspnea, Fever ... ANCA-positive vasculitis ... polyangiitis, Microscopic ... ANCA-negative vasculitis ... IgA-associated vasculitis
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 ... disorders: - Vasculitis ... polyangiitis, microscopic ... Others: - Pulmonary
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
PR3-ANCA): • Microscopic ... Coronary arteries - Fever ... • Cogan Syndrome ... : • Fevers • ... Dx: GPA, EGPA, microscopic
Causes of Hemoptysis - Differential Diagnosis Algorithm Massive Hemoptysis (>I00 mL in 24 hours) • Malignancy •
Vasculitis Infection ... Vasculitis • ... Goodpasture's Syndrome ... polyangiitis / microscopic ... Vascular • Pulmonary
ID Approach to Fever and Rash - Diagnostic Algorithm Central Maculopapular (most common): Measles, Parvovirus 819 / EBV,
ID Approach to Fever ... WNV, Mycoplasma, Leptospirosis ... Viral hemorrhagic fevers ... Parvovirus B19 (PPGSS), Vasculitis ... angiomatosis, Sweet syndrome
Lung Abscess Microbiology: • Polymicrobial • Anaerobes (most common) Clinical: • Indolent symptoms that evolve
Lung Abscess Microbiology ... to rnonths • Fever ... , hemoptysis Treatment ... Abscess #Diagnosis #Pulmonary
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Infections BRASH Syndrome ... Hyperkalemia Pulmonary ... Acute rheumatic fever ... • Yellow fever ... Babesiosis • Leptospirosis
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