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Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Clinical Features ... of Systemic Lupus ... Purpura, Urticaria Chest ... joints Nervous system ... ) Blood (75%): Anemia
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Pertinent Chest ... Central nervous system ... Two or more rib fractures ... places - Flail chest ... Gastrointestinal (GI) gas pattern
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Chronic hemolytic anemia ... heart disease Systolic ... and obstructive pattern ... disorders, lenectomy Systemic
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... and Management Algorithm ... underlying dz (SLE, uremia ... Diagnosis #Management #Algorithm
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
disease, pleuritic chest ... may show this pattern ... heart failure, uremia ... #Breathing #Patterns
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Systemic causes ... include diabetes, anemia ... Spots in the pattern ... nail growth from systemic
Helpful Clinical Features in Evaluating Bleeding Disorders
Age of onset
 • Neonate - in 20% of haemophilias,
Helpful Clinical Features ... • Presence of systemic ... anticoagulants • Unusual pattern ... non-accidental injury Pattern
Differential Diagnosis of Respiratory Acid-Base Disorders
Alkalosis
A. Central nervous system stimulation: Pain, Anxiety, psychosis, Fever, Cerebrovascular accident,
Central nervous system ... Aspiration, Severe anemia ... Stimulation of chest ... Hemothorax, Flail chest