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diagnosis cardiology pain arthritis msk approach clues conditions dermatology erythematosus extrarticular failure hematology infectiousdiseases lupus management monoarthritis monoarticular nonpalpable oligoarthritis
Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... Leaflet: Rheumatic fever ... cardiomyopathy - VA Joint ... Regurgitation #differential ... diagnosis #cardiology #causes
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Subacute bacterial endocarditis ... Cardiovascular system • Mitral ... - Bacterial endocarditis ... #pain #differential ... #diagnosis #rheumatology
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
acute rheumatic fever ... Like in this case ... • Acute = Viral ... #rheumatology # ... approach #workup #differential
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Involves aortic and mitral ... night sweats, fever ... Marantic (NTBE) Differential ... • IV Antibiotics ... Persistent bacteremia/fevers
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis Differential ... weeks) Can Be Caused ... • Rheumatic fever ... • Bacterial endocarditis ... #pain #Differential
Causes of Antibiotic Failure - Differential Diagnosis Framework Diagnosis: • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... Failure - Differential ... Atypical bacteria: Viral ... lines, osteo, endocarditis ... SJS, DIHS, drug fever
Top 10 situations when to think about lupus 1) Inflammatory joint pain (especially in the wrists and
) Inflammatory joint ... the face (many differential ... responsive to antibiotics ... 9) Unexplained fever ... erythematosus #rheumatology
Purpura - Differential Diagnosis Framework Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... CTD (SLE) - Viral ... mountain spotted fever ... • Bacterial endocarditis ... #rheumatology #
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... involves aortic and mitral ... night sweats, fever ... Treatment • IV antibiotics ... #Differential #
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... vesicular eruption • Joints ... tract, and often causes ... Palpable purpura, joint ... #Diagnosis #Rheumatology
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