医
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Urinary calculus due to schistosomiasis. Antischistosomal therapy is used.
Osteonecrosis due to hemoglobinopathy. Treating underlying blood disease is used.
Tuberculous intestinal/peritoneal/mesenteric lymph node disease. Anti-TB therapy is used.
Peripheral vascular disease due to disease classified elsewhere. Treating underlying disease is used.
Vitreous hemorrhage due to disease classified elsewhere. Treating underlying disease is used.
Other blood and blood-forming disorder due to disease classified elsewhere. Treating underlying disease is used.
Anemia due to other chronic disease classified elsewhere. Treating underlying disease and supportive care are used.
Haemophilus influenzae as underlying cause of disease classified elsewhere. Antibiotics are used.
Leukemia is a malignant leukocyte proliferation; when cells enter the blood they infiltrate and destroy other tissues and organs. Leukemia can cause renal damage; the kidney is the 3rd most commonly infiltrated organ in acute leukemia, mainly by direct in
血液科TTP is microangiopathic hemolytic anemia + thrombocytopenia; urgent plasma exchange; steroids/rituximab; supportive; follow-up hematology.
血液科Majocchi purpura is annular telangiectatic purpuric patches on lower limbs; reassurance, compression stockings, avoid venous stasis, follow-up dermatology, distinguish from vasculitis.
血液科HHT is autosomal dominant vascular dysplasia with telangiectasia/AVM; epistaxis, screen/treat visceral AVM.
血液科HHT is autosomal dominant telangiectasia/AVM; recurrent epistaxis/AVM; treat epistaxis, screen/treat pulmonary/cerebral AVM.
血液科Obliterative arteriosclerosis is occlusive arterial disease causing limb ischemia; antiplatelet, risk-factor control, revascularization.
血液科Amyloidosis is misfolded protein fibril deposition in organs (AL primary/AA secondary/hereditary): nephrotic syndrome, cardiomyopathy, neuropathy, hepatomegaly; biopsy Congo red; treat underlying cause.
血液科Hypocalcemia is low serum calcium: tetany, Chvostek/Trousseau signs, seizures, arrhythmia; causes hypoparathyroidism/vitamin-D deficiency/renal disease; treat by calcium/vitamin-D repletion.
血液科Hereditary coproporphyria is coproporphyrinogen-oxidase deficiency: acute neurovisceral attacks, sometimes mild photosensitivity; treat as acute porphyria, avoid triggers.
血液科Variegate porphyria combines acute neurovisceral attacks and cutaneous photosensitivity; PPOX deficiency; treat as acute porphyria plus sun protection.
血液科Acute intermittent porphyria is PBGD deficiency: recurrent severe abdominal pain, neuropathy, neuropsychiatric symptoms, dark urine; triggered by drugs/fasting/stress; treat with hemin/glucose.
血液科Erythropoietic porphyria (congenital, Gunther) is uroporphyrinogen-III-synthase deficiency: severe photosensitivity, blistering, hemolytic anemia, red urine/teeth; sun protection, transfusions/HSCT.
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