#idboardreview 20 F cough, F, fatigue not improving on azithro, no travel, +gardening: wbc 17k 90%pmn, CXR patchy nodules: biopsy necrotizing granulomas; stain Aspergillus. Growing up, pt & her brother had several episodes of cervical lymphadenitis. How to make dx? #idtwitter
DKA:
Insulin causes a shift of phosphate into the cellular compartment and fluid replacement dilutes the phosphate concentration.
These factors frequently lead to mild to moderate hypophosphatemia in DKA patients.
Charcot (neuropathic) arthropathy of elbow due to Syringomyelia - review of 50 pts. Median age 45 yrs, 2/3 isolated elbow arthritis; other joints: shoulder > wrist > MCPs/IPs. 2/3 had Chiari malformations, sensory/motor deficits, or ulnar neuropathy bit.ly/3CoxFx6
Happy to share our recent paper
'Diffusion Tensor and Dynamic Contrast-Enhanced Magnetic Resonance Imaging Correlate with Molecular Markers of Inflammation in the Synovium'
mdpi.com/2075-4418/12/1…
Health economics in Rheumatology, an Indian perspective! must read for every Indian Rheumatologist. Visit the link👇👇
indianjrheumatol.com/preprintarticl…