22 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout Diagnosis ... : r/o septic arthritis ... Treatment: • Weight ... #management #treatment ... #ULT #rheumatology
Rheumatoid Arthritis - 2020 ACR-EULAR Classification
≥ 6 of 10 points = definite RA
Joint Involvement:
Rheumatoid Arthritis ... joint) - 5 points Serology ... #Rheumatoid #Arthritis ... #diagnosis #EULAR ... Classification #rheumatology
Adult-Onset Still's Disease (AOSD)
Rare inflammatory disorder of unknown etiology, difficult to diagnose because of heterogenous presentation.
, difficult to diagnose ... maculopapular rash, arthritis ... low ferritin, arthritis ... Disease #AOSD #rheumatology ... #diagnosis #management
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
skin injury) • Neurologic ... ) Differential Diagnosis ... exacerbations: high-dose ... #management #signs ... #symptoms #rheumatology
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... narrowing) • Ultrasound ... #Rheumatoid #Arthritis ... #diagnosis #management ... #rheumatology
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... erythematosus, Rheumatoid arthritis ... infiltrates) → high ... resolution chest CT ... #nephrology
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
sinusitis, septic arthritis ... Diagnosis: • Physical ... CXR, ENT exam, CT ... Macrolide (addition might ... #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... scan, if suspect right-sided ... infection (e.g. septic arthritis ... #criticalcare #diagnosis ... #management
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Diagnosis = clinical ... w/differential diagnosis ... them, but urgent rheumatology ... #Management
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... Compensated polarized light ... (to support a diagnosis ... laboratory #workup #diagnosis ... #testing #Rheumatology