14 results
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
based on repeat clinic ... Consider secondary HTN ... • Bilateral RAS ... Renin-Angiotensin stimulation (OCP ... #Hypertension #HTN
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... , C3, C4, anti-CCP ... • CXR (diffuse ... high resolution chest ... #differential #diagnosis
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 #
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... - Asthma - COPD ... - Pulmonary HTN ... Hepatopulmonary syndrome ... #differential #diagnosis
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
heart failure, COPD ... , Primary pulm HTN ... Evaluation: Imaging (CXR ... /- High res CT chest ... HIVAIDS #workup #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
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
• Mounier-Kuhn syndrome ... Physical stigmata of cor ... parenchyma Diagnosis ... Laboratory: • ANA, RF, CCP ... #differential #diagnosis
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
RV Failure (PE, PHTN ... CCB, BB, BRASH syndrome ... later), Anaphylaxis ... cytokine release syndrome ... Undifferentiated #Shock #diagnosis
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
, Ehler-Danlos syndrome ... Direct/indirect chest ... muscles apically and laterally ... long-standing HT ... #Differential #Diagnosis
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... renal failure Clinical ... at the time of diagnosis ... e.g. incidental CXR ... dyspnea, cough, chest