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Hombre de 48 años
con linfadenopatía
mediastínica bilateral,
pseudotumores
orbitarios, masas
renales y pancreatitis
aguda
Dra. Ilse Soto Villca
M.R.I. Medicina Interna
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Hospital
de
Clínicas
Universitario
Artículo
Sesiones
académicas,
Rote:
Reumatología
ARTÍCULO
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23
Hospital de Clínicas Universitario
Artículo
Sesiones académicas, Rote: Reumatología
Caso Clínico
 Varón de 48 años
 Antecedentes: Rinosinusitis crónica, ERGE y dieta
no controlada, Diabetes mellitus
insulinodependiente
 HEA: Refiere cuadro clínico de 4 meses de
evolución:
Tos seca crónica
Disnea
Fatiga
Por lo que acude a consulta de neumología
 Medicamentos: El paciente estaba tomando
montelukast, 10 mg una vez al día, y fluticasona en
aerosol nasal dos veces al día.
 El examen físico reveló signos vitales normales con
una saturación de oxígeno del 95% mientras el
paciente respiraba aire ambiente, además de finos
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El estudio previo realizado por el médico de atención primaria del
paciente reveló:
 Glóbulos blancos de 8,0 a 10.9/L
 Hemoglobina de 16 g/dl
 Recuento de plaquetas de 220 - 109/L
 Sodio 143 mmol/L
 Potasio 4,7 mmol/L
 Creatinina de 1,0 mg/Dl
 VSG 5 mm/h.
Pruebas de función pulmonar antes de la presentación y revelaron:
 VEF1: 68%
 CVF 75%
 VEF1/CVF: 82 %
 DLCO: 73%.
La TC de tórax: Linfadenopatía hiliar blateral y opacidades
micronodulares bilaterales extensas.
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La biopsia
pulmonar
transbronquial
reveló
GRANULOMAS
NO CASEOSOS
Uno de los siguientes
sería inconsistente
con la presentación
del paciente?
a. Tuberculosis
b. Sarcoidosis
c. Histoplasmosis
d. Poliarteritis nudosa
(PAN)
e. Blastomicosis
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Diagnosis
Pain
La tuberculosis puede tener una presentación
similar a la de nuestro paciente y además puede
provocar granulomas pulmonares. Los granulomas
que se observan en la tuberculosis suelen ser
granulomas caseosos, pero en este caso se debe
considerar la tuberculosis en el diagnóstico
diferencial. Los síntomas de presentación comunes
en pacientes con sarcoidosis incluyen tos, disnea,
fatiga, malestar y fiebre. Las imágenes pulmonares
a menudo revelan anomalías. La adenopatía hiliar
Eruption
Venus is the second
planet from the Sun
Inflammation
Mars is actually a very
cold place
Fever
Jupiter is the biggest
planet of them all
Sensitivity
Saturn is composed of
hydrogen and helium
Tiredness
Neptune is far away
from Earth
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Lupus
clinical
case
Diagnosis
Lupus
clinical
case
Diagnosis
Table of contents
You can describe the
topic of the section here
The patient
01
Discussion
You can describe the
topic of the section here
02
Diagnosis
You can describe the
topic of the section here
03
Treatment
You can describe the
topic of the section here
04
Monitoring
You can describe the
topic of the section here
05
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Lupus clinical case
Table of contents
Lupus clinical case
Table of contents
The patient
01
You can enter a subtitle here if you need it
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Lupus
clinical
case
The
patient
Lupus
clinical
case
The
patient
Introduction
You can give a brief description of the topic you
want to talk about here. For example, if you want to
talk about Mercury, you can say that it’s the
smallest planet in the entire Solar System
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Lupus
clinical
case
Introduction
Lupus
clinical
case
Introduction
Identifying information
Mercury is the closest planet
to the Sun and the smallest
in the Solar System
Mercury Jupiter
Jupiter is a gas giant and the
biggest planet in the entire
Solar System
Mars
Despite being red, Mars is
actually a cold place. It’s full
of iron oxide dust
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22
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Lupus clinical case
Identifying information
Lupus clinical case
Identifying information
Patient medical history
2021
Despite being red, Mars is actually a
cold place. It’s full of iron oxide dust
Venus has a beautiful name and is the
second planet from the Sun
2020
Mercury is the closest planet to the Sun
and the smallest in the Solar System
2022
Location: Spain
Name: Selena Ramírez
Age: 30 years old
Gender: Female
Allergies: None
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Lupus clinical case
Patient medical history
Lupus clinical case
Patient medical history
Review of
systems
Do you know what helps you make your
point clear?
Lists like this one:
● They’re simple
● You can organize your ideas clearly
● You’ll never forget to buy milk!
And the most important thing: the audience
won’t miss the point of your presentation
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Lupus
clinical
case
Review
of
systems
Lupus
clinical
case
Review
of
systems
Physical examination
Renal
problems
Mercury is the
smallest planet
Joint
stiffness
Venus is the second
planet from the Sun
Muscle
pain
Jupiter is the biggest
planet of them all
Nervous
system
Neptune is far away
from Earth
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Lupus clinical case
Physical examination
Lupus clinical case
Physical examination
Findings
Follow the link in the graph to modify its data and then paste the new one here. For more info, click here
Earth
It’s the third planet
from the Sun
Mars
Mars is actually a
very cold place
10%
50%
40%
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22
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Lupus
clinical
case
Findings
Lupus
clinical
case
Findings
Venus
It’s the second
planet from the Sun
Venus Earth Mars
Discussion
Dr. Jenna Doe
“Despite being red, Mars is actually a cold
place. It’s full of iron oxide dust”
Dr. Anna Smith
“Mercury is the closest planet to the Sun
and the smallest of them all”
Dr. John James
“Venus has a beautiful name and is the
second planet from the Sun”
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Lupus
clinical
case
Discussion
Lupus
clinical
case
Discussion
Discussion
summary
Saturn is a gas giant and has several rings.
It's composed mostly of hydrogen and
helium. It was named after the Roman
god of wealth and agriculture
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Lupus clinical case
Discussion summary
Lupus clinical case
Discussion summary
Comparison
Symptom Treatment Description Condition
Eruption
Mercury was named
after the Roman god
The Sun is the star at the
center of the Solar
System
Stable
Sensitivity
Venus has a very
beautiful name
Saturn is a gas giant and
has several rings
No symptom
Muscle pain
Jupiter is a gas giant and
the biggest planet
Neptune is the farthest
planet from the Sun
Stable
Respiratory distress
The Moon is Earth’s only
natural satellite
Pluto is now considered a
dwarf planet
Unstable
Fever
Ceres is located in the
main asteroid belt
Despite being red, Mars is
actually a cold place
Critical
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Lupus clinical case
Comparison
Lupus clinical case
Comparison
A picture
always
reinforces
the concept
Images reveal large amounts of data,
so remember: use an image instead
of a long text. Your audience will
appreciate it
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Lupus
clinical
case
Systemic
lupus
erythematosus
(SLE)
Lupus
clinical
case
Systemic
lupus
erythematosus
(SLE)
Treatment
Venus
Mercury
Mercury is the closest planet to
the Sun and the smallest one
in the Solar System—it’s only a
bit larger than the Moon
Venus has a beautiful name
and is the second planet from
the Sun. It’s hot and has a
poisonous atmosphere
20
22
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Lupus clinical case
Treatment
Lupus clinical case
Treatment
Patient monitoring
20
22
20
22
Lupus clinical case
Patient monitoring
Lupus clinical case
Patient monitoring
Mercury is the closest
planet to the Sun
Week 1
70%
Saturn is a gas giant and
has several rings
Neptune is very far
away from Earth
30%
Jupiter is the biggest planet
in the Solar System
Week 2
20%
Earth is the third planet
from the Sun
The Moon is Earth’s only
natural satellite
60%
The Sun is the star at the
center of the Solar System
Week 3
20%
Ceres is located in the
main asteroid belt
Pluto is now considered
a dwarf planet
60%
Contraindications & indications
Don’ts
● You can describe the reasons to
stop the treatment here
● You can describe the reasons to
stop the treatment here
● You can describe the reasons to
stop the treatment here
● You can describe the reasons to
stop the treatment here
Dos
● You can describe the reasons to
start the treatment here
● You can describe the reasons to
start the treatment here
● You can describe the reasons to
start the treatment here
● You can describe the reasons to
start the treatment here
20
22
20
22
Lupus
clinical
case
Contraindications
&
indications
Lupus
clinical
case
Contraindications
&
indications
Post-prevention
Venus
Venus is the second
planet from the Sun
Jupiter
It’s the biggest planet
in the Solar System
Mars
Despite being red,
Mars is a cold place
Saturn
Saturn is a gas giant
and has several rings
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22
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Lupus
clinical
case
Post-prevention
Lupus
clinical
case
Post-prevention
Case timeline
Mercury
Mercury is the
smallest planet
Venus
Venus is the second
planet from the Sun
Mars
Mars is actually a
very cold place
Jupiter
Jupiter is the biggest
planet of them all
Neptune
Neptune is far away
from Earth
01 02 03 04 05
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22
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Lupus clinical case
Case timeline
Lupus clinical case
Case timeline
Conclusions
Venus has a beautiful name and is the second
planet from the Sun. It’s hot and has a
poisonous atmosphere
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22
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22
Lupus clinical case
Conclusions
Lupus clinical case
Conclusions
References
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
20
22
20
22
Lupus clinical case
References
Lupus clinical case
References
You can speak a bit about
this person here
You can speak a bit about
this person here
Our team
Dr. John Path
Dr. Jenna Doe
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22
20
22
Lupus
clinical
case
Our
team
Lupus
clinical
case
Our
team
This is a map
20
22
20
22
Lupus
clinical
case
Systemic
lupus
erythematosus
(SLE)
Lupus
clinical
case
Systemic
lupus
erythematosus
(SLE)
It’s the biggest planet in
the Solar System
Jupiter
Despite being red, Mars
is a cold place
Mars
Venus is the second
planet from the Sun
Venus
Awesome
words
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22
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22
Lupus clinical case
Awesome words
Lupus clinical case
Awesome words
9h 55m 23s
Jupiter’s rotation period
386,000 km
Distance between Earth and the Moon
333,000,00
The Sun’s mass compared to Earth’s
20
22
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22
Lupus clinical case
Systemic lupus erythematosus (SLE)
Lupus clinical case
Systemic lupus erythematosus (SLE)
Big numbers catch your audience’s attention
36,000,000
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22
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22
Lupus clinical case
Big numbers
Lupus clinical case
Big numbers
Our
informational
channels
You can replace the images on the screen
with your own work. Just right-click on
them and select “Replace image”
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22
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Lupus
clinical
case
Our
information
channels
Lupus
clinical
case
Our
information
channels
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Medicine Icon pack
Lupus clinical case
Medicine Icon pack
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clinical
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clinical
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REUMA EPRP.pptx

  • 1. Hombre de 48 años con linfadenopatía mediastínica bilateral, pseudotumores orbitarios, masas renales y pancreatitis aguda Dra. Ilse Soto Villca M.R.I. Medicina Interna 20 23 20 23 Hospital de Clínicas Universitario Artículo Sesiones académicas, Rote: Reumatología
  • 2. ARTÍCULO 20 23 Hospital de Clínicas Universitario Artículo Sesiones académicas, Rote: Reumatología
  • 3. Caso Clínico  Varón de 48 años  Antecedentes: Rinosinusitis crónica, ERGE y dieta no controlada, Diabetes mellitus insulinodependiente  HEA: Refiere cuadro clínico de 4 meses de evolución: Tos seca crónica Disnea Fatiga Por lo que acude a consulta de neumología  Medicamentos: El paciente estaba tomando montelukast, 10 mg una vez al día, y fluticasona en aerosol nasal dos veces al día.  El examen físico reveló signos vitales normales con una saturación de oxígeno del 95% mientras el paciente respiraba aire ambiente, además de finos 20 23 20 23
  • 4. El estudio previo realizado por el médico de atención primaria del paciente reveló:  Glóbulos blancos de 8,0 a 10.9/L  Hemoglobina de 16 g/dl  Recuento de plaquetas de 220 - 109/L  Sodio 143 mmol/L  Potasio 4,7 mmol/L  Creatinina de 1,0 mg/Dl  VSG 5 mm/h. Pruebas de función pulmonar antes de la presentación y revelaron:  VEF1: 68%  CVF 75%  VEF1/CVF: 82 %  DLCO: 73%. La TC de tórax: Linfadenopatía hiliar blateral y opacidades micronodulares bilaterales extensas. 20 23 20 23 La biopsia pulmonar transbronquial reveló GRANULOMAS NO CASEOSOS
  • 5. Uno de los siguientes sería inconsistente con la presentación del paciente? a. Tuberculosis b. Sarcoidosis c. Histoplasmosis d. Poliarteritis nudosa (PAN) e. Blastomicosis 20 23 20 23
  • 6. Diagnosis Pain La tuberculosis puede tener una presentación similar a la de nuestro paciente y además puede provocar granulomas pulmonares. Los granulomas que se observan en la tuberculosis suelen ser granulomas caseosos, pero en este caso se debe considerar la tuberculosis en el diagnóstico diferencial. Los síntomas de presentación comunes en pacientes con sarcoidosis incluyen tos, disnea, fatiga, malestar y fiebre. Las imágenes pulmonares a menudo revelan anomalías. La adenopatía hiliar Eruption Venus is the second planet from the Sun Inflammation Mars is actually a very cold place Fever Jupiter is the biggest planet of them all Sensitivity Saturn is composed of hydrogen and helium Tiredness Neptune is far away from Earth 20 22 20 22 Lupus clinical case Diagnosis Lupus clinical case Diagnosis
  • 7. Table of contents You can describe the topic of the section here The patient 01 Discussion You can describe the topic of the section here 02 Diagnosis You can describe the topic of the section here 03 Treatment You can describe the topic of the section here 04 Monitoring You can describe the topic of the section here 05 20 22 20 22 Lupus clinical case Table of contents Lupus clinical case Table of contents
  • 8. The patient 01 You can enter a subtitle here if you need it 20 22 20 22 Lupus clinical case The patient Lupus clinical case The patient
  • 9. Introduction You can give a brief description of the topic you want to talk about here. For example, if you want to talk about Mercury, you can say that it’s the smallest planet in the entire Solar System 20 22 20 22 Lupus clinical case Introduction Lupus clinical case Introduction
  • 10. Identifying information Mercury is the closest planet to the Sun and the smallest in the Solar System Mercury Jupiter Jupiter is a gas giant and the biggest planet in the entire Solar System Mars Despite being red, Mars is actually a cold place. It’s full of iron oxide dust 20 22 20 22 Lupus clinical case Identifying information Lupus clinical case Identifying information
  • 11. Patient medical history 2021 Despite being red, Mars is actually a cold place. It’s full of iron oxide dust Venus has a beautiful name and is the second planet from the Sun 2020 Mercury is the closest planet to the Sun and the smallest in the Solar System 2022 Location: Spain Name: Selena Ramírez Age: 30 years old Gender: Female Allergies: None 20 22 20 22 Lupus clinical case Patient medical history Lupus clinical case Patient medical history
  • 12. Review of systems Do you know what helps you make your point clear? Lists like this one: ● They’re simple ● You can organize your ideas clearly ● You’ll never forget to buy milk! And the most important thing: the audience won’t miss the point of your presentation 20 22 20 22 Lupus clinical case Review of systems Lupus clinical case Review of systems
  • 13. Physical examination Renal problems Mercury is the smallest planet Joint stiffness Venus is the second planet from the Sun Muscle pain Jupiter is the biggest planet of them all Nervous system Neptune is far away from Earth 20 22 20 22 Lupus clinical case Physical examination Lupus clinical case Physical examination
  • 14. Findings Follow the link in the graph to modify its data and then paste the new one here. For more info, click here Earth It’s the third planet from the Sun Mars Mars is actually a very cold place 10% 50% 40% 20 22 20 22 Lupus clinical case Findings Lupus clinical case Findings Venus It’s the second planet from the Sun Venus Earth Mars
  • 15. Discussion Dr. Jenna Doe “Despite being red, Mars is actually a cold place. It’s full of iron oxide dust” Dr. Anna Smith “Mercury is the closest planet to the Sun and the smallest of them all” Dr. John James “Venus has a beautiful name and is the second planet from the Sun” 20 22 20 22 Lupus clinical case Discussion Lupus clinical case Discussion
  • 16. Discussion summary Saturn is a gas giant and has several rings. It's composed mostly of hydrogen and helium. It was named after the Roman god of wealth and agriculture 20 22 20 22 Lupus clinical case Discussion summary Lupus clinical case Discussion summary
  • 17. Comparison Symptom Treatment Description Condition Eruption Mercury was named after the Roman god The Sun is the star at the center of the Solar System Stable Sensitivity Venus has a very beautiful name Saturn is a gas giant and has several rings No symptom Muscle pain Jupiter is a gas giant and the biggest planet Neptune is the farthest planet from the Sun Stable Respiratory distress The Moon is Earth’s only natural satellite Pluto is now considered a dwarf planet Unstable Fever Ceres is located in the main asteroid belt Despite being red, Mars is actually a cold place Critical 20 22 20 22 Lupus clinical case Comparison Lupus clinical case Comparison
  • 18. A picture always reinforces the concept Images reveal large amounts of data, so remember: use an image instead of a long text. Your audience will appreciate it 20 22 20 22 Lupus clinical case Systemic lupus erythematosus (SLE) Lupus clinical case Systemic lupus erythematosus (SLE)
  • 19. Treatment Venus Mercury Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon Venus has a beautiful name and is the second planet from the Sun. It’s hot and has a poisonous atmosphere 20 22 20 22 Lupus clinical case Treatment Lupus clinical case Treatment
  • 20. Patient monitoring 20 22 20 22 Lupus clinical case Patient monitoring Lupus clinical case Patient monitoring Mercury is the closest planet to the Sun Week 1 70% Saturn is a gas giant and has several rings Neptune is very far away from Earth 30% Jupiter is the biggest planet in the Solar System Week 2 20% Earth is the third planet from the Sun The Moon is Earth’s only natural satellite 60% The Sun is the star at the center of the Solar System Week 3 20% Ceres is located in the main asteroid belt Pluto is now considered a dwarf planet 60%
  • 21. Contraindications & indications Don’ts ● You can describe the reasons to stop the treatment here ● You can describe the reasons to stop the treatment here ● You can describe the reasons to stop the treatment here ● You can describe the reasons to stop the treatment here Dos ● You can describe the reasons to start the treatment here ● You can describe the reasons to start the treatment here ● You can describe the reasons to start the treatment here ● You can describe the reasons to start the treatment here 20 22 20 22 Lupus clinical case Contraindications & indications Lupus clinical case Contraindications & indications
  • 22. Post-prevention Venus Venus is the second planet from the Sun Jupiter It’s the biggest planet in the Solar System Mars Despite being red, Mars is a cold place Saturn Saturn is a gas giant and has several rings 20 22 20 22 Lupus clinical case Post-prevention Lupus clinical case Post-prevention
  • 23. Case timeline Mercury Mercury is the smallest planet Venus Venus is the second planet from the Sun Mars Mars is actually a very cold place Jupiter Jupiter is the biggest planet of them all Neptune Neptune is far away from Earth 01 02 03 04 05 20 22 20 22 Lupus clinical case Case timeline Lupus clinical case Case timeline
  • 24. Conclusions Venus has a beautiful name and is the second planet from the Sun. It’s hot and has a poisonous atmosphere 20 22 20 22 Lupus clinical case Conclusions Lupus clinical case Conclusions
  • 25. References ● AUTHOR (YEAR). Title of the publication. Publisher ● AUTHOR (YEAR). Title of the publication. Publisher ● AUTHOR (YEAR). Title of the publication. Publisher ● AUTHOR (YEAR). Title of the publication. Publisher ● AUTHOR (YEAR). Title of the publication. Publisher ● AUTHOR (YEAR). Title of the publication. Publisher ● AUTHOR (YEAR). Title of the publication. Publisher 20 22 20 22 Lupus clinical case References Lupus clinical case References
  • 26. You can speak a bit about this person here You can speak a bit about this person here Our team Dr. John Path Dr. Jenna Doe 20 22 20 22 Lupus clinical case Our team Lupus clinical case Our team
  • 27. This is a map 20 22 20 22 Lupus clinical case Systemic lupus erythematosus (SLE) Lupus clinical case Systemic lupus erythematosus (SLE) It’s the biggest planet in the Solar System Jupiter Despite being red, Mars is a cold place Mars Venus is the second planet from the Sun Venus
  • 28. Awesome words 20 22 20 22 Lupus clinical case Awesome words Lupus clinical case Awesome words
  • 29. 9h 55m 23s Jupiter’s rotation period 386,000 km Distance between Earth and the Moon 333,000,00 The Sun’s mass compared to Earth’s 20 22 20 22 Lupus clinical case Systemic lupus erythematosus (SLE) Lupus clinical case Systemic lupus erythematosus (SLE)
  • 30. Big numbers catch your audience’s attention 36,000,000 20 22 20 22 Lupus clinical case Big numbers Lupus clinical case Big numbers
  • 31. Our informational channels You can replace the images on the screen with your own work. Just right-click on them and select “Replace image” 20 22 20 22 Lupus clinical case Our information channels Lupus clinical case Our information channels
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  • 33. Medicine icon pack 20 22 20 22 Lupus clinical case Medicine Icon pack Lupus clinical case Medicine Icon pack
  • 34. Alternative resources Photos ● Medium shot woman taking pill ● Man taking his pills in bed ● Sick woman laying in bed medium shot ● Doctor examining chest of patient ● Male patient in bed talking to a nurse ● Front view of smiley covid recovery center female ● Close up on doctor getting ready for work Here’s an assortment of alternative resources whose style fits that of this template: 20 22 20 22 Lupus clinical case Alternative resources Lupus clinical case Alternative resources
  • 35. Resources Photos ● Side view of a young woman holding glass of water taking medicine ● Young woman suffering from stomach pain ● Ill woman at home ● Covid recovery center female doctor holding older patient's hands ● Ill male patient in bed talking to a nurse ● Medium shot doctor with crossed arms ● Medium shot smiley doctor with coat Icons ● Icon Pack: Medicine Did you like the resources on this template? Get them for free at our other websites: 20 22 20 22 Lupus clinical case Resources Lupus clinical case Resources
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