Ravi Singh K @rav7ks
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Academic Hospitalist and Program Director @SinaiBmoreIMRes, Medicine clerkship director GW School of Medicine and Health Sciences RMC at Sinai, Clinical reasoning,Simulation and POCUS enthusiast - https://twitter.com/rav7ks
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diagnosis differential hematology management cardiology causes rheumatology oncology infectiousdiseases syndrome atrial classification disease endocarditis fibrillation infections lactate pathophysiology thrombosis vasculitis
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework VENOUS THROMBOSIS • Acquired Risk Factors: - >48 hours
Thrombosis vs Arterial ... Fat Emboli ARTERIAL ... THROMBOSIS Arterial ... in all cases of arterial ... pathophysiology #hematology
Causes of Arterial and Venous Thrombosis - Differential Diagnosis Framework STRUCTURAL: - PFO: paradoxical emboli - Popliteal
Causes of Arterial ... aneurysm: Causes arterial ... - TMA: TTP - Arterial ... , HUS, DIC #Arterial ... Diagnosis #clots #hematology
Monoclonal Gammopathy of Undetermined Significance (MGUS) - Summary Framework Hematologic disorder characterized by the presence of either
Monoclonal Gammopathy ... abnormal intact monoclonal ... : • Serum IgM monoclonal ... MGUS: • Serum monoclonal ... #Significance #hematology
Cold Agglutinin Disease 3 Types of Cold Sensitive Antibodies: 1. Cold Agglutinins (CAD) 2. Donath-Landsteiner
- Idiopathic monoclonal ... malignancy (CLL) - Monoclonal ... Differential Diagnosis Monoclonal ... Such As: • IgM monoclonal ... hemolytic #anemia #hematology
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology Pulse pressure is the difference between the systolic blood
Stroke Volume / Arterial ... less compliant arteries ... disorders - Chronic pulmonary ... of developing atrial ... Infarction • Pulmonary
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
- Tamponade Pulmonary ... Vasculature: - PE - Pulmonary ... Transverse myelitis • Hematology ... diagnosis #causes #pulmonary
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... Noncardiac: • Pulmonary ... Anticoagulation #Atrial
Paraproteinemias Entities That Can Feature A Monoclonal Protein/M Component: • MM • WM • MGUS • MGCS • MGRS • Splenic Marginal Zone
Can Feature A Monoclonal ... Amyloidosis and monoclonal ... Paraproteinemias #Hematology ... #Monoclonal #Differential
Stridor - Differential Diagnosis Framework: High-pitched, variable respiratory sound ETIOLOGIES: Infectious: • Retropharyngeal abscess • Acute epiglottitis • Peritonsillar
• Croup • Bacterial ... • Croup • Bacterial ... Expiratory Stridor: • Bacterial ... diagnosis #causes #pulmonary
Pustular Skin Lesions - Differential Diagnosis Framework What are pustules? • Pustules < 5-10 mm + pus • Material
10 mm + pus • Material ... neutrophils) • Pus --> bacterial ... Bacterial folliculitis ... Differential #Diagnosis #Dermatology
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