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diagnosis rheumatology cardiology causes msk algorithm arthritis erythematosus infectiousdiseases lupus physicalexam sle systemic vasculitis aids approach bradi bradycardia classification comparison
Primary and Secondary Causes of Mitral Regurgitation Primary (organic) chronic mitral regurgitation: • Leaflet: Rheumatic fever, Infective
Leaflet: Rheumatic fever ... • Prosthetic valve ... annulus valve: ... cardiomyopathy - VA Joint ... Regurgitation #differential
Infectious Joint Pain - Differential Diagnosis Algorithm Polyarticular Join Pain • Viral Myalgia • Viral Arthritis
Infectious Joint ... Pain - Differential ... Pain • Viral ... rash) • Primary HIV ... Infection • Endocarditis
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
Regions - Frequent Differential ... infective endocarditis ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... • Abdominal pain
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... Subacute bacterial endocarditis ... Cardiovascular system • Mitral ... - Bacterial endocarditis ... #pain #differential
Myositis and Myopathies Polymyositis • Progressive, symmetric muscle weakness • Elevated CK, +Anti-Jo, +Anti-Mi2 Dermatomyositis
Rheumatica • Pain ... , Fever, No muscle ... CK, Detectable HIV ... viral load Drug-induced ... Myopathies #myopathy #differential
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... acute rheumatic fever ... - parvovirus, HIV ... #Joint #Pain #MSK ... approach #workup #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 ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... Persistent bacteremia/fevers
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... • Rheumatic fever ... Parvovirus B19 • HIV ... • Bacterial endocarditis ... #pain #Differential
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
(SLE) General: Fever ... Aseptic necrosis of hip ... Pericarditis, Endocarditis ... , Aortic valve lesions ... Abdominal pain
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Bradycardia - Differential ... Hyperkalemia Pulmonary ... syndrome • Aortic Valve ... Endocarditis + ... • Post cardiac/Valve
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