43 results
Telescoping Fingers on Physical Exam

A 69-year-old woman with rheumatoid arthritis presented for the treatment of severe
Exam A 69-year-old ... presented for the treatment ... Telescoping #Fingers #PhysicalExam ... RheumatoidArthritis #Clinical ... #Video #Rheumatology
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
Activation of CD8 ... IFN-y) → Excessive activation ... cytokines (TNFa,lL1, IL6 ... accumulation of clinical ... Assessment • Clinical
Von Willebrand Disease - Most common inherited bleeding disorder 
Clinical 
 • Easy bruising 
 •
Von Willebrand Disease ... bleeding disorder Clinical ... platelet count (mild ... factor VIII) Treatment ... #Diagnosis #Hematology
Hemophilia - Diagnosis and Management
Diagnosis:
 • Consistent bleeding history (unless screening for disease in family members
screening for disease ... with established disease ... may be normal in mild ... that ↑ bleeding risk ... #hematology
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
Macrophage Activation ... fever syndromes Clinical ... Fever is the main clinical ... Treatment: • Corticosteroids ... #Syndrome #Diagnosis
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
kirschneri, noguchii) Risk ... Presentation: • Mild ... ARDS Diagnosis ... Epidemiologic exposure + clinical ... #treatment #management
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
factors: Critical ... sequestration and activation ... : 33% • Treatment ... Transfusion #Reactions #hematology ... #diagnosis #comparison
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Failure (ACLF) Clinical ... in those with CLD ... months without treatment ... underlying liver disease ... gastroenterology #management #diagnosis
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... pneumonia • DM risk ... Pneumonitis 3. ... Lung Abscess - Clinical ... hemorrhage • Treatment
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
: Overwhelming clinical ... excessive macrophage activation ... age, however the disease ... • Bicytopenia Treatment ... #hematology