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diagnosis rheumatology cardiology joint agglutinin anemia clinical conditions disease earpain echocardiogram erythematosus extrarticular hematology hemolytic infectiousdiseases lupus management mitralvalve monoarthritis
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
infection • ... Inflammation of ear ... infection, Amyloidosis ... conditions #joint #pain ... #differential #
What's the Dx? • 29-year-old male • Transfer community hospital • Hypotension • Renal failure • Altered mental status.
• 29-year-old male ... demonstrate a mobile mitral ... young patient with fever ... Echocardiogram #PLAX #Infective ... #Endocarditis #
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 Ear Pain (Otalgia) - Differential Diagnosis Framework Primary Otalgia - Pain that originates from the ear
Ear Pain (Otalgia ... ) - Differential ... associated with infection ... Mastoiditis • Viral ... , weight loss, fever
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
- Arthritis Differential ... By: - Chronic Infection ... • Rheumatic fever ... • Bacterial endocarditis ... Joint #pain #Differential
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 ... Criteria • ↑ ESR ... Persistent bacteremia/fevers
Cold Agglutinin Disease 3 Types of Cold Sensitive Antibodies: 1. Cold Agglutinins (CAD) 2. Donath-Landsteiner
infection, autoimmune ... Agglutination in the nose, ears ... younger pts) Differential ... Symptoms: High fevers ... chills, flank pain
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Vasculitis Differential ... Vasculitis: • Fevers ... urticaria, recent viral ... infection, drug
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 ... Criteria • ↑ ESR ... #Endocarditis #Differential
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 ... : • Joint pain ... • Libman-Sacks endocarditis ... Cytopenias • Cardiac valve
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