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rheumatology pain causes algorithm approach workup cardiology conditions erythematosus extrarticular fuo infectious jointpain lupus monoarthritis monoarticular myopathies myopathy myositis oligoarthritis
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Subacute bacterial endocarditis ... - Bacterial endocarditis ... #pain #differential ... #diagnosis #rheumatology
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
Infectious Joint Pain - Differential Diagnosis Algorithm Polyarticular Join Pain • Viral Myalgia • Viral Arthritis
Infectious Joint ... Pain - Differential ... Diagnosis Algorithm ... Infection • Endocarditis ... Infectious #JointPain #MSK
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... acute rheumatic fever ... #Joint #Pain #MSK ... approach #workup #differential ... #diagnosis #arthritis
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
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
Origin (FUO) - Differential ... Diagnosis Algorithm ... • Giant cell arteritis ... • Infectious endocarditis ... UnknownOrigin #FUO #Chronic
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
: • Acute or chronic ... bacterial, fungal, or viral ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
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
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Diagnosis Framework ... vesicular eruption • Joints ... Eosinophilia, asthma, chronic ... Palpable purpura, joint
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
weight loss, and fever ... permanent alopecia Differential ... : • Joint pain ... • Libman-Sacks endocarditis ... with Lupus: • Chronic
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