20 results
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
calcinosis • Pulmonary ... disease), PAH (pulmonary ... scleroderma renal crisis ... #rheumatology # ... diagnosis #signs
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Arterial blood gas (ABC ... scanning or pulmonary ... ) on room air Treatment ... #management #treatment ... #hepatology
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
pressure < 15mmHg TREATMENT ... guanylate cyclase (sGC ... directly stimualtes sGC ... who respond to medical ... #management #hepatology
Pulmonary Embolism on POCUS Echocardiogram

S/p mitral repair and MAZE. Hypotensive dyspneic, lightheaded.
Bedside U/S expediting diagnosis treatment
Pulmonary Embolism ... U/S expediting diagnosis ... treatment and transfer ... ultrasound_vcu #Pulmonary ... Echocardiogram #s4c
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Differential Diaqnoses ... hepatitis • Pulmonary ... : pleural effusion ... #management #treatment ... #rheumatology
Scleroderma Renal Crisis (SRC)

Clinical Presentation of Scleroderma Renal Crisis:
1) Acute kidney injury
2) Abrupt onset of hypertension
3)
(SRC) Clinical ... activation, ↓ perfusion ... MithuRheum #SRC ... #rheumatology # ... #management
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Paraneoplastic effects of SCC ... muscles: “myasthenic crises ... myasthenia Diagnosis ... Myasthenia Crises ... #management #neurology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Variceal Bleeding - Diagnosis ... and Management ... Variceal #Bleeding #Diagnosis ... #Management #treatment ... endoscopy #varices #hepatology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... HoTN, edema and effusions ... Imaging: CXR- pulmonary ... Renal Failure Treatment ... #management #hematology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
syndrome): - Hematologic ... decompression SVC ... renal failure, pulmonary ... , SOB, pleural effusions ... Oncology #HemeOnc #Diagnosis