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diagnosis rheumatology pain cardiology physicalexam algorithm arthritis vasculitis approach classification clues conditions dermatology effusions erythematosus extrarticular extremity infections infectious infectiousdiseases
Infectious Joint Pain - Differential Diagnosis Algorithm Polyarticular Join Pain • Viral Myalgia • Viral Arthritis
Infectious Joint ... Pain - Differential ... Infection • Endocarditis ... Infectious #JointPain #MSK ... #Orthopedics #Causes
Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... Leaflet: Rheumatic fever ... cardiomyopathy - VA Joint ... Regurgitation #differential ... diagnosis #cardiology #causes
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Acute bacterial endocarditis ... Non-Infectious Causes ... - Temperature Pulse ... #Patterns #Differential
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Subacute bacterial endocarditis ... - Bacterial endocarditis ... Diminished peripheral pulses ... #pain #differential
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
acute rheumatic fever ... Like in this case ... • Acute = Viral ... #Joint #Pain #MSK ... approach #workup #differential
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Rash - Differential ... Red Flags: • Fever ... Schonlein Purpura - Endocarditis ... #Differential #
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Leg Pain - Differential ... refill - Poor pulses ... pain/swelling - Fever ... #Leg #pain #differential ... lower #extremity #msk
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 ... Treat underlying cause ... Persistent bacteremia/fevers
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis Differential ... weeks) Can Be Caused ... • Rheumatic fever ... • Bacterial endocarditis ... #Diagnosis #MSK
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
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