36 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Acute and chronic treatment ... 1) 2+ flares/year ... gout #diagnosis #management ... #treatment #ULT ... #rheumatology
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
Rapid Response Team ... Orders placed, treatments ... Rapid #Response #Team ... #RRT #Management ... #treatment #criticalcare
Warm Antibody Autoimmune Hemolytic Anemia 
1) DIAGNOSE AIHA
 • Anemia: macrocytic > normocytic, ↑ reticulocytes
 •
• Blood smear: Differential ... Anemia #diagnosis #management ... #treatment #rheumatology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Dehydration Shock Treatment ... #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Acquired von Willebrand Syndrome - Diagnosis and Management
 • Autoantibodies to vWF: Lymphoproliferative disorders (e.g. lymphoma,
Diagnosis and Management ... Syndrome #Diagnosis #Management ... #treatment #hematology ... #differential
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Differential Diagnosis ... Workup #diagnosis #Management ... #treatment #criticalcare
Treatment of giant cell arteritis (GCA)

1st Line Strategy - GC 0.7 mg/kg/day, except for:
 • Aortitis
Treatment of giant ... or SC for > 1 year ... arteritis #GCA #Treatment ... #Management #Relapses ... #Indications #rheumatology
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
fraction < 20% Differential ... Disease #diagnosis #management ... #treatment #rheumatology
Susac Syndrome - Clinical Triad
 - Central nervous system dysfunction
 - Branch retinal artery occlusion
 -
disease flares - 2-year ... arterioles - Treatment ... Triad #Diagnosis #Management ... #Rheumatology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a tear ... Pulse deficit/differential ... deficit • Shock Treatment ... Dissection #diagnosis #management