The Intern At Work: Internal Medicine 17. Ask a Fellow: Pulmonary Renal Syndrome
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Dec 16, 2018 AI Snips
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Definition Of Pulmonary Renal Syndrome
- Pulmonary renal syndrome manifests as simultaneous respiratory failure and renal failure, typically diffuse alveolar hemorrhage and glomeronephritis.
- These manifestations usually occur at the same time, defining the syndrome's clinical presentation.
Detailed History Is Crucial
- Take a detailed history focusing on respiratory symptoms, systemic inflammation, and potential underlying autoimmune signs.
- Ask about drug use to identify mimics, as some drugs can induce ANCA antibodies.
Key Physical Exam Findings
- During physical exam, assess respiratory distress signs and look for systemic features like palpable purpura or rash to suggest the underlying cause.
- Recognize that renal failure signs may be subtle, mostly mild edema or systemic manifestations depending on etiology.