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diagnosis rheumatology cardiology pain causes management primary algorithm aortic approach comparison conditions earpain erythematosus extrarticular extremity functional gout infections infectious
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
infection • ... Inflammation of ear ... Cardiovascular system • Mitral ... regurgitation and ... #pain #differential
Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
Primary and Secondary ... , Infective endocarditis ... , Infective endocarditis ... cardiomyopathy - VA Joint ... #differential #diagnosis
Causes of Severe Aortic Regurgitation - Differential Diagnosis Acute: • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
- Differential ... Endocarditis, Acute ... : Infective Endocarditis ... , Rheumatic Fever ... Aortic Aneurysms and
Infectious Joint Pain - Differential Diagnosis Algorithm Polyarticular Join Pain • Viral Myalgia • Viral Arthritis
Infectious Joint ... Pain - Differential ... Polyarticular Join ... • Endocarditis ... Infectious #JointPain #MSK
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
acute rheumatic fever ... infection. ... • Acute = Viral ... #Joint #Pain #MSK ... approach #workup #differential
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Juvenile idiopathic arthritis ... • Infective endocarditis ... • Rheumatoid arthritis ... #Patterns #Differential
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... • Rheumatic fever ... • Bacterial endocarditis ... Joint #pain #Differential ... #Diagnosis #MSK
Myositis and Myopathies Polymyositis • Progressive, symmetric muscle weakness • Elevated CK, +Anti-Jo, +Anti-Mi2 Dermatomyositis
, Fever, No muscle ... weakness • Elevated ESR ... with temporal arteritis ... Detectable HIV viral ... Myopathies #myopathy #differential
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
mitral regurgitation ... night sweats, fever ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... Criteria • ↑ ESR
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
stenosis - Infective ... /marantic endocarditis ... of coaptation point ... #Mitral #Regurgitation ... Primary #Functional #Differential
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