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Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... and renal manifestations ... for Pulmonary Renal ... resolution chest CT ... #Renal #Syndrome
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... Renal Syndromes ... sparing of the lung ... #Renal #Syndromes ... #management #treatment
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Malignant HTN • Renal ... thrombosis • Renal ... Sickle cell) • Renal ... TURP/Biopsy Renal ... #nephrology #renal
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Cirrhosis Syndrome ... carcinoma of the lung ... SSRIs) Severe pain ... Suppressed - Advanced renal ... #Table #Causes
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
: • Renal parenchymal ... disease - Renal ... of renal disease ... Renovascular disease - Renal ... Bilateral selective renal
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Framework Pre-Renal ... Hypercalcemia, Renal ... Medications Intra-Renal ... Autoimmune Post-Renal ... #nephrology #causes
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
throughout the lungs ... Differential Diagnosis ... thyroid, melanoma, renal ... #pulmonary #CXR ... #clinical #CT
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
- Differential Diagnosis ... • Dental infections ... • Dental infections ... subdural hematoma, lung ... #differential #diagnosis
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... Pleuritic chest pain ... seen • Chest CT ... #Abscess #pulmonary
Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
Etiologies of pulmonary ... infections according ... myelodysplastic syndrome ... #Lung #Infections ... #Differential #Diagnosis