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diagnosis rheumatology pain cardiology joint monoarticular acute algorithm causes chronic conditions earpain erythematosus extrarticular fuo infections infectiousdiseases intermittent lupus management
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Subacute bacterial endocarditis ... Inflammation of ear ... Cardiovascular system • Mitral ... - Bacterial endocarditis ... #joint #pain #differential
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Acute bacterial endocarditis ... Juvenile idiopathic arthritis ... • Rheumatoid arthritis ... #Patterns #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 ... EBV • CMV • Viral ... #FUO #Chronic #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 ... Criteria • ↑ ESR ... Persistent bacteremia/fevers
Ear Pain (Otalgia) - Differential Diagnosis Framework Primary Otalgia - Pain that originates from the ear
) - Differential ... Mastoiditis • Viral ... , weight loss, fever ... Cervical spine arthritis ... Cricoarytenoid arthritis
Myositis and Myopathies Polymyositis • Progressive, symmetric muscle weakness • Elevated CK, +Anti-Jo, +Anti-Mi2 Dermatomyositis
proximal joints, Fever ... with temporal arteritis ... Detectable HIV viral ... Myopathies #myopathy #differential ... #diagnosis #comparison
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... • Rheumatic fever ... or more joints Viral ... • Bacterial endocarditis ... Joint #pain #Differential
Differential Diagnosis of Acute Arthritis Crystal-induced arthritis: Calcium oxalate, gout, cholesterol, pseudogout, hydroxyapatite crystals Infectious arthritis: Bacteria, fungi,
Differential Diagnosis ... Mediterranean fever ... hyperlipoproteinemia,* meniscal tear ... infection: Bacterial endocarditis ... #Diagnosis #Differential
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 Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Vasculitis: • Fevers ... Recurrent middle ear ... urticaria, recent viral ... well as inner ear
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 ... Criteria • ↑ ESR ... #Differential #
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