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diagnosis rheumatology algorithm cardiology causes erythematosus fuo headache joint lupus monoarticular neurology pain sle symptoms systemic acute autoimmune chronic clues
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Subacute bacterial endocarditis ... • Rheumatic fever ... disease, Vasculitis (e.g ... - Bacterial endocarditis ... #joint #pain #differential
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis • Infection: Extrapulmonary tuberculosis, Abscess, Endocarditis,
Origin (FUO) - Differential ... tuberculosis, Abscess, Endocarditis ... Lupus, Rheumatoid arthritis ... Vasculitis (Temporal arteritis ... #Origin #FUO #Differential
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Juvenile idiopathic arthritis ... • Rheumatoid arthritis ... Brucellosis Faget's Sign ... #Patterns #Differential
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
(SLE) General: Fever ... of hip (rare), Arthritis ... Fits, Hemiplegia, Ataxia ... Pericarditis, Endocarditis ... erythematosus #signs
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
Origin (FUO) - Differential ... • Giant cell arteritis ... • Infectious endocarditis ... • Protozoa (eg ... #FUO #Chronic #Differential
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
to Headaches - Differential ... • Meningeal signs ... Systemic symptoms and signs ... (e.g., fever, myalgia ... ) • Temporal arteritis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Differential Diagnosis ... noninflammatory Signs ... • 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
night sweats, fever ... Marantic (NTBE) Differential ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... Persistent bacteremia/fevers
Differential Diagnosis of Acute Arthritis Crystal-induced arthritis: Calcium oxalate, gout, cholesterol, pseudogout, hydroxyapatite crystals Infectious arthritis: Bacteria, fungi,
Differential Diagnosis ... spondyloarthropathy (e.g ... Mediterranean fever ... infection: Bacterial endocarditis ... #Diagnosis #Differential
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 Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... coital headache • Fever ... arteries - Temporal arteritis ... #headache #signs ... symptoms #clues #differential
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