10 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Cough, Dyspnea, Fever ... ANCA-positive vasculitis ... ANCA-negative vasculitis ... IgA-associated vasculitis ... Cryoglobulinemia) • Immune Complex
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
progressing GN • New pulmonary ... tracts Immune Complex ... Coronary arteries - Fever ... : • Fevers • ... #rheumatology #classification
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
Purpuric Rashes- THE ALGORITHMIC ... ; however, an algorithmic ... petechiae/purpura with fever ... petechiae/purpura with fever ... petechiae require complete
Complex Loculated Pleural Effusion on Lung POCUS Ultrasound
22 month old with fever and respiratory failure.

MaimoUltrasound @MaimoUltrasound

#Complex
Complex Loculated ... Effusion on Lung POCUS ... month old with fever ... MaimoUltrasound #Complex ... #pulmonary #Ultrasound
Rapidly Progressive Glomerulonephritis (RPGN)
RPGN has three primary pathophysiologic causes differentiated by immunofluorescence

Immune Complex Mediated (granular staining):
immunofluorescence Immune Complex ... With associated pulmonary ... Glomerulonephritis #Vasculitis ... differential #diagnosis #algorithm
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Differential Diagnosis Algorithm ... Infection - Vasculitis ... Red Flags: • Fever ... - Autoimmune Vasculitis ... Work Up: • Complete
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... diagnostic and tx paracentesis ... weeks ago, no fevers ... pocket for dx + tx paracentesis ... PittIMPOCUS #Complex
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
progressing GN • New pulmonary ... : • Fevers • Fatigue ... and branches • Fever ... Coronary arteries • Fever ... pauci-immune GN Immune Complex
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Mycobacterium tuberculosis complex ... Growers (Runyon Classification ... Growers (Runyon Classification ... Avium Complex (MAC ... Presentation: Fever
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
/ hypoxemia -> focus ... the patient’s complete ... output - Acute pulmonary ... #typea #typeb #classification