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diagnosis rheumatology dermatology cardiology algorithm causes erythematosus joint lupus pain petechiae petechial sle arthritis clues conditions extrarticular framework infectiousdiseases lesions
Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
, Infective endocarditis ... , Infective endocarditis ... • Prosthetic valve ... annulus valve: ... Regurgitation #differential
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH These rashes can be especially challenging and are associated with devastating differential
inflammation or infection ... petechiae/purpura with fever ... gonococcal disease, endocarditis ... #Diagnosis #Dermatology ... Purpural #Purpuric #Rash
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
- Differential ... - Trauma - Infection ... Red Flags: • Fever ... Schonlein Purpura - Endocarditis ... #Differential #
Causes of Thrombocytopenia - Differential Diagnosis Framework Decreased Production: - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
quinine, etc) - Viral ... infiltration: malignancy, infection ... - Mechanical: valve ... replacement, endocarditis ... Diagnosis #Framework #hematology
Purpura - Differential Diagnosis Framework Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... mountain spotted fever ... • Bacterial endocarditis ... #Diagnosis #hematology ... palpable #nonpalpable
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
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
infection • ... Subacute bacterial endocarditis ... Cardiovascular system • Mitral ... infection, Amyloidosis ... #joint #pain #differential
MR SMITH Mnemonic for Causes of Rashes on Palms and Soles M - Meningococcemia R - Rickettsia, Rat
Rickettsia, Rat bite fever ... Monkeypox I - Infective ... Endocarditis T ... MRSMITH #Mnemonic #Rash ... #Palms #Soles #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 ... , when infection
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
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