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rheumatology cardiology causes joint pain algorithm approach bacteria erythematosus infections infectious infectiousdiseases intermittent jointpain lupus management microbiology monoarthritis monoarticular oligoarthritis
Infectious Joint Pain - Differential Diagnosis Algorithm Polyarticular Join Pain • Viral Myalgia • Viral Arthritis
Diagnosis Algorithm ... & Symmetrical Rash ... Infection • Endocarditis ... Articular - Acute ... Infectious #JointPain #MSK
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Juvenile idiopathic arthritis ... • Rheumatoid arthritis ... #Patterns #Differential ... #Diagnosis #intermittent
Microbial Etiology of Acute Pharyngitis - IDSA Bacterial • Group A streptococcus - Pharyngotonsillitis, scarlet fever •
Microbial Etiology of Acute ... Pharyngitis - IDSA ... Scarlatiniform rash ... , pharyngitis Viral ... #diagnosis #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
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Involves aortic and mitral ... Culture (+): Acute ... night sweats, fever ... Marantic (NTBE) Differential ... Persistent bacteremia/fevers
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
rheumatic fever ... • Acute = Viral ... #Joint #Pain #MSK ... approach #workup #differential ... #diagnosis #arthritis
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
weight loss, and fever ... Classification: • Acute ... permanent alopecia Differential ... • Libman-Sacks endocarditis ... , Fever, Serositis
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... involves aortic and mitral ... Culture Positive: • Acute ... night sweats, fever ... #Differential #
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