10 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Diagnosis for Pulmonary ... , C3, C4, anti-CCP ... • CXR (diffuse ... high resolution chest ... #differential #
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
HRCT findings in OP ... consolidations of OP ... carcinoma, the diagnosis ... #Clinical #Radiology ... #CTChest #COP #
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Hypertension - Differential ... based on repeat clinic ... • Bilateral RAS ... Renin-Angiotensin stimulation (OCP ... Secondary #Nephrology #Differential
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
intrinsic factor, IF) Clinical ... CP, SOB, lightheadedness ... degeneration of dorsal 8 lateral ... consider other diagnosis ... Cobalamin #Deficiency #diagnosis
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
dealing with the differential ... diagnosis of chronic ... organizing pneumonia (OP ... #Clinical #Radiology ... #CXR #Peripheral
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
• Mounier-Kuhn syndrome ... Physical stigmata of cor ... Laboratory: • ANA, RF, CCP ... Bronchiectasis #pulmonary #differential ... #diagnosis
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
citrullinated peptide (CCP ... elderly persons - CCP ... titer, ACE level, CXR ... ANAs • RF and CCP ... ANA and RF (if clinical
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... renal failure Clinical ... e.g. incidental CXR ... dyspnea, cough, chest ... abnormal LFT): 12
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
there is a broad differential ... diagnosis and additional ... clinical information ... would be on top ... #CTChest #RBILD
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This patient’s clinical ... exam findings and clinical ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest