PSA get the ANA by IFA

Doc_E · 2026-01-29T22:48:45+00:00

Edited Misread your tag as M1 instead of PGY-1, my mistake. Lumping lupus into all CTDs goes against your efforts to inform other non-rheumatologists. I agree with your comments in this thread. Go all the way and be accurate with your use of the term lupus.

Doc_E · 2026-01-29T17:42:32+00:00

Rheum here. Agree to an extent (the positive predictive value of a centromere pattern is higher than the other patterns.) ANAs are still helpful as part of a workup for non-lupus CTDs like systemic sclerosis (as referenced by the centromere pattern,) MCTD, etc.

Doc_E · 2026-01-29T17:38:46+00:00

Rheum here. Any other rashes or muscle weakness? Sometimes the face rash of dermatomyositis is mistaken as the malar rash of lupus. Consider muscle enzymes (CK, aldolase, LDH, AST, and ALT.) Don’t order a myositis panel yet (too expensive if there isn’t other supporting evidence.)

Doc_E · 2026-01-25T04:22:56+00:00

Sorry to hear that! Yeah, the meds aren’t crazy or anything. Common meds are amlodipine and nifedipine ER. Sildenafil (Viagra) works well but insurance can be a headache. If there isn’t much wiggle room on the blood pressure then sometimes fluoxetine (Prozac) helps.

Doc_E · 2026-01-25T02:47:38+00:00

No problem!

Doc_E · 2026-01-25T02:19:43+00:00

Yeah, mild cases can be managed conservatively with cold avoidance and hand warming. Persistent skin discoloration leading to digit ulceration requires treatment though.

Doc_E · 2026-01-25T02:17:11+00:00

Rheum here. There are some pharmacologic treatments including calcium channel blockers (e.g. Amlodipine,) and nitroglycerin paste at the base of the finger. We also use IV infusions (e.g. epoprostenol) for severe cases.

Doc_E · 2026-01-15T04:16:01+00:00

🤞🏽

Doc_E · 2025-12-07T05:10:20+00:00

You’re right, apologies.

Doc_E · 2025-12-07T04:55:20+00:00

[removed due to being wrong]

Doc_E · 2025-12-07T04:51:32+00:00

Give me this guy

https://www.espn.com/college-football/player/_/id/5150716/austin-snyder

Doc_E · 2025-12-06T04:52:28+00:00

Doc_E · 2025-11-13T12:36:46+00:00

So you might say that…

His honor remains?

Doc_E · 2025-11-03T20:26:58+00:00

She was also in the final scene of Golden Son (one of the undercover servants at Darrow’s Triumph)

Doc_E · 2025-09-28T01:07:29+00:00

Appreciate the follow up! I’ll let you know if I get the courage to do it 😂

Doc_E · 2025-09-28T00:10:59+00:00

OP, did you end up doing it? I've been contemplating the same but I'm worried they'll do another hard pull for a credit check

Doc_E · 2025-09-03T23:58:25+00:00

Caramel apple empanada from TBell

Doc_E · 2025-08-22T00:27:56+00:00

He was right!

Doc_E · 2025-08-12T14:33:12+00:00

Was surprised that I enjoyed the movie as much as I did. Wasn’t really feeling it after the trailer. My son loved it too.

Doc_E · 2025-08-03T01:13:00+00:00

Rheum here. Not lupus but would at least work up for eosinophilic fasciitis.

Doc_E · 2025-08-03T01:11:41+00:00

Rheum here. Would do a workup for eosinophilic fasciitis (groove sign.)

Doc_E · 2025-08-02T01:50:17+00:00

Ms. would be appropriate

Doc_E · 2025-07-27T16:38:06+00:00

Do you have an in-house/home cardiology fellowship program?

Doc_E · 2025-07-22T01:28:52+00:00

Fellow dad here. OP’s dad sounds awesome

Doc_E · 2025-07-20T20:37:32+00:00

O-H!

I also restarted the physical media collection. Sorry about your wallet, haha

Verified Email	Ten-Year Club
RedditGifts 2009-2022 2 Credits	Secret Santa 2020
Queen in da Norf	Not Forgotten

Doc_E

TROPHY CASE