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 management hematology rheumatology fever pulmonary aids cardiology causes hiv pain abscess activation aplastic bronchiectasis chronic classification cll cns coccidioidomycosis
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... Acute bacterial endocarditis ... schistosomiasis • Pyemia ... Brucellosis • Liver or lung ... Fever #Patterns #Differential
Common Infections in a Hospitalized Patient - GRUBS-C Mnemonic G - GI (-itis): Cholecystitis, Pancreatitis, Peritonitis, Appendicitis,
Common Infections ... pneumonia, empyema, lung ... Complications: Endocarditis ... Encephalitis #Infections ... #differential #
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
polymicrobial infection ... Leukocytosis, anemia ... hemorrhage • Treatment ... Abscess Differential ... Abscess #pulmonary #differential
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Infectious: • Pre-existing ... devices (CIED) Non-Infectious ... verrucous) • Lung ... Marantic (NTBE) Differential ... Leukocytosis, anemia
Aplastic Anemia - Overview Who? • M = F • 3 peaks: 1) Childhood 2) 15-25 years 3) >60 years What? • Aplastic anemia
Aplastic Anemia ... Neutropenia - recurrent infections ... Idiopathic • Infections ... Treatment: ... #oncology #hematology
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Mycobacteria (NTM) Infections ... infections • ... Bone Marrow - Anemia ... #differential # ... diagnosis #infectiousdiseases
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework LDH is a cytoplasmic enzyme present in tissues throughout
Dehydrogenase (LDH) - Differential ... Prosthetic valves Lung ... Pneumonia • Other lung ... • Toxins • Infection ... Dehydrogenase #Elevated #differential
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... , verrucous) - Lung ... Leukocytosis, anemia ... hematuria, + RF Treatment ... Diagnosis #cardiology #infectiousdiseases
Ear Pain (Otalgia) - Differential Diagnosis Framework Primary Otalgia - Pain that originates from the ear
Pain (Otalgia) - Differential ... subdural hematoma, lung ... the tragus to differentiate ... Otalgia #Ear #Pain #Otology ... Otolaryngology #differential
Purpura - Differential Diagnosis Framework Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... - Hemolytic anemia ... SLE) - Viral infections ... APLS • Acute Infectious ... • Bacterial endocarditis
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