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diagnosis algorithm cardiology nonpalpable petechiae petechial rheumatology causes color ddxof erythematosus hematology infectiousdiseases lupus maculopapular management palpable physicalexam purpura purpural
Maculopapular - Diagnostic Algorithm Pathophysiology: - Catch-all term with a wide range of potential pathophysiologic mechanisms and causative
or fluid-filled lesions ... Ill-appearing, vital ... instability - New-onset fever ... or ocular lesions ... Targetoid #Algorithm #Differential
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
- Differential ... reddish-purple lesions ... Red Flags: • Fever ... Schonlein Purpura - Endocarditis ... Algorithm #Causes #dermatology
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 ... Paradoxical emboli via ASD ... Persistent bacteremia/fevers
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH These rashes can be especially challenging and are associated with devastating differential
petechiae/purpura with fever ... gonococcal disease, endocarditis ... petechial or purpuric rash ... #Diagnosis #Dermatology ... Purpural #Purpuric #Rash
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... involves aortic and mitral ... night sweats, fever ... Persistent bacteremia/fevers ... #Endocarditis #Differential
Purpura - Differential Diagnosis Framework Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... hemorrhagic skin lesions ... CTD (SLE) - Viral ... mountain spotted fever ... • Bacterial endocarditis
Pustular Skin Lesions - Differential Diagnosis Framework What are pustules? • Pustules < 5-10 mm + pus • Material
Pustular Skin Lesions ... - Differential ... Generalized itchy rash ... Pustules + Fever ... Diagnosis #Dermatology
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
weight loss, and fever ... papulosquamous lesions ... permanent alopecia Differential ... • Libman-Sacks endocarditis ... Cytopenias • Cardiac valve
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