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diagnosis rheumatology causes pain regurgitation msk primary algorithm aortic approach conditions erythematosus extrarticular functional fuo infectiousdiseases lupus management monoarthritis monoarticular
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Subacute bacterial endocarditis ... Cardiovascular system • Mitral ... - Bacterial endocarditis ... #pain #differential
Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
Primary (organic) chronic ... Secondary (functional) chronic ... cardiomyopathy - VA Joint ... Regurgitation #differential ... #diagnosis #cardiology
Causes of Severe Aortic Regurgitation - Differential Diagnosis Acute: • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Regurgitation - Differential ... Acute Infective Endocarditis ... Injury to Root Chronic ... , Rheumatic Fever ... Diagnosis #Causes #cardiology
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
acute rheumatic fever ... • Chronic - Think ... • Acute = Viral ... hepatitis, herpes • Chronic ... approach #workup #differential
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
Origin (FUO) - Differential ... • Giant cell arteritis ... • Infectious endocarditis ... UnknownOrigin #FUO #Chronic ... #Differential #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... • Rheumatic fever ... Viral Infections ... • Bacterial endocarditis ... Joint #pain #Differential
Myositis and Myopathies Polymyositis • Progressive, symmetric muscle weakness • Elevated CK, +Anti-Jo, +Anti-Mi2 Dermatomyositis
, Fever, No muscle ... with temporal arteritis ... Detectable HIV viral ... Myopathies #myopathy #differential ... #diagnosis #comparison
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 ... Persistent bacteremia/fevers ... diagnosis #management #cardiology
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
Infective/marantic endocarditis ... Age-related changes, chronic ... of coaptation point ... Primary #Functional #Differential ... #Diagnosis #Cardiology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... vesicular eruption • Joints ... Eosinophilia, asthma, chronic ... Palpable purpura, joint ... urticaria, recent viral
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