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On broncho-alveolar lavage: Drug-specific T-lymphocytes and eosinophils may be found - Clinical course: o Rash and visceral involvement resolve in 6-9 weeks after withdrawal of offending agent o 20% of cases symptoms persist for months with remission and relapse - Diagnosis: o Pt who received new medication in the last 2-6 weeks with the following: - Morbilliform rash - Fever - Lymphadenopathy - Facial edema - Eosinophilia o Labs: CBC (eosinophilia), BMP (creatinine/BUN), viral hepatitis panel, dermatology referral for skin biopsy o CT chest if pulmonary symptoms - Management: o Drug withdrawal and supportive measures o If suspected medication is antiepileptic, substitute with valproate o For pts with hepatic involvement refer to hepatologist o For pts with severe interstitial nephritis or interstitial pneumonia, consider corticosteroids

Bridesmaid dress trends right now are all about personality, polish, and just the right amount of drama

All patterns were free at the time they were added to the post

Versatility is key, and these dresses can easily transition from day to night with just a few tweaks