Ravi Singh K @rav7ks
1.2M 757 370
Academic Hospitalist and Associate Program Director @SinaiBmoreIMRes, Medicine clerkship director GW School of Medicine and Health Sciences RMC at Sinai, Hopkins Medicine Clerkship Site Director, Clinical reasoning,Simulation and POCUS enthusiast - https://twitter.com/rav7ks
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diagnosis differential management pulmonary rheumatology syndrome cardiology hematology infectiousdiseases neurology treatment infections dermatology oncology pain disease endocrinology msk comparison hepatology
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... == CPPD == Think ... About CPPD When ... disease states Pathophysiology ... 12-24 Hours • Fever
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
• Asthma • COPD ... PVFM) Cardiac Causes ... Hematologic Causes ... acidosis of any cause ... • Temperature/FEVER
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Continuous Fever ... (Step ladder: fever ... or no fever • ... Non-Infectious Causes
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
Cardiovascular Causes ... Tamponade Pulmonary Causes ... - Asthma - COPD ... syndrome Other Causes ... differential #diagnosis #causes
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework High Altitude Pulmonary Edema: • Accumulation
- Low-grade fever ... epilepticus • Pathophysiology ... insufficiency, fever ... The predominant pathophysiologic ... • Pathophysiology
Fever - Pyrogen Pathophysiology EXOGENOUS PYROGEN • Bacteria: Lipopolysaccharide components, peptidoglycans and muramyl peptide derivatives, Toxins •
Fever - Pyrogen ... Pathophysiology ... production → Fever ... #Fever #Pathophysiology
Causes of Orthopnea - Differential Diagnosis Framework • Fear and Anxiety • Pleural Effusion • Ascites
Causes of Orthopnea ... • Ascites • COPD ... Differential #Diagnosis #Causes
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever ... Spondylarthropathies Other causes ... differential #diagnosis #causes
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
• Most common cause ... Lung Abscess Pathophysiology ... : • 80% have fever ... Intervention: - Fevers ... #differential #causes
Ear Pain (Otalgia) - Differential Diagnosis Framework Primary Otalgia - Pain that originates from the ear
otalgia Most Common Causes ... externa Mechanical Causes ... zoster Neoplastic Causes ... Inflammatory Causes ... , weight loss, fever
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