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rheumatology pain algorithm arthritis cardiology causes erythematosus sle vasculitis approach classification clues comparison conditions dermatology extrarticular infectious infectiousdiseases jointpain management
Infectious Joint Pain - Differential Diagnosis Algorithm Polyarticular Join Pain • Viral Myalgia • Viral Arthritis
Infectious Joint ... Pain - Differential ... Diagnosis Algorithm ... Infection • Endocarditis ... Infectious #JointPain #MSK
Myositis and Myopathies Polymyositis • Progressive, symmetric muscle weakness • Elevated CK, +Anti-Jo, +Anti-Mi2 Dermatomyositis
muscle weakness, rash ... , Fever, No muscle ... Detectable HIV viral ... Myopathies #myopathy #differential ... #diagnosis #comparison
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 ... spondyloarthropathies, lupus ... #Joint #Pain #MSK ... approach #workup #differential
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
Top 10 situations when to think about lupus 1) Inflammatory joint pain (especially in the wrists and
) Inflammatory joint ... everywhere) 2) A rash ... the face (many differential ... ; sometimes « viral ... 9) Unexplained fever
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
- Differential ... Diagnosis Algorithm ... Red Flags: • Fever ... Schonlein Purpura - Endocarditis ... Autoimmune Vasculitis (lupus
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 ... Arthritis: • Joint ... • Libman-Sacks endocarditis ... to: Arthritis, Fever
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 ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... Persistent bacteremia/fevers
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis Differential ... Diagnosis Framework ... • Rheumatic fever ... • Bacterial endocarditis ... #Diagnosis #MSK
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
vesicular eruption - Joints ... Coronary arteries - Fever ... mucositis - Rash ... such as systemic lupus ... Vasculitis: • Fevers
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