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rheumatology cardiology erythematosus lupus causes joint pain signs symptoms vasculitis algorithm autoantibodies bradi chronic classification clues conditions extrarticular fuo infections
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Subacute bacterial endocarditis ... system • Mitral ... - Bacterial endocarditis ... #joint #pain #differential ... #diagnosis #rheumatology
Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
Leaflet: Rheumatic fever ... cushion defects), Systemic ... inflammation (SLE ... Regurgitation #differential ... #diagnosis #cardiology
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
: Fever (50%), Depression ... Photosensitivity, Butterfly rash ... of hip (rare), Arthritis ... Pericarditis, Endocarditis ... signs #symptoms #diagnosis
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Bradycardia - Differential ... Diagnosis Framework ... • Aortic Valve Endocarditis ... Autoimmune: • SLE ... #differential #
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
Origin (FUO) - Differential ... Diagnosis Algorithm ... Autoimmune: • SLE ... • Giant cell arteritis ... • Infectious endocarditis
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Juvenile idiopathic arthritis ... • Rheumatoid arthritis ... with Relative Bradycardia ... #Patterns #Differential
Systemic Lupus Erythematosus - Diagnosis Manifestations: - Arthritis 69% - Malar rash 40% - Fever 36% -
Systemic Lupus Erythematosus ... : - Arthritis ... 69% - Malar rash ... 40% - Fever 36% ... #Systemic #Lupus
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
SLE (Systemic Lupus ... weight loss, and fever ... permanent alopecia Differential ... • Libman-Sacks endocarditis ... , Fever, Serositis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Involves aortic and mitral ... • Autoimmune (SLE ... night sweats, fever ... Vascular: • Systemic ... Marantic (NTBE) Differential
Top 10 situations when to think about lupus 1) Inflammatory joint pain (especially in the wrists and
everywhere) 2) A rash ... the face (many differential ... ; sometimes « viral ... 9) Unexplained fever ... #sle #clues #system
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