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diagnosis differential rheumatology msk erythematosus lupus pain systemic vasculitis workup approach chronic criteria diffuse disease effusions eularacr fatigue knee laboratory
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Chronicity: • Acute ... Like in this case ... parvovirus, HIV, hepatitis ... Chronic = RA, SLE ... #rheumatology #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
weeks) Can Be Caused ... B19 • HIV • Hepatitis ... • SLE • Psoriatic ... Symmetrical: • RA • SLE ... Diagnosis #MSK #rheumatology
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Causes of Knee Effusions ... Fever/Chills/Joint ... Parvovirus - Hepatitis ... - SLE - Behcet ... Reactive Syndrome - Acute
Causes of Diffuse Lymphadenopathy - Differential Diagnosis Algorithm Reactive: - Systemic Inflammatory •
Causes of Diffuse ... • Rheumatoid Arthritis ... Tuberculosis • Hepatitis ... Fatigue • Acute ... #Causes #Hematology
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus Clinical Domains: • Constitutional domain: Fever • Cutaneous domain: Non-scarring
EULAR/ACR Classification ... discoid lupus, Acute ... cutaneous lupus • Arthritis ... in at least 2 joints ... #Criteria #SLE
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Causes of Fatigue ... Neoplastic / Hematologic ... Epstein-Barr Virus • Hepatitis ... • Rheumatoid Arthritis ... • SLE • Polymyalgia
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Skin Disease Classification ... : • Acute cutaneous ... : • Joint pain ... arthropathy • 90% joints ... Noninfectious hepatitis
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... of the affected joint ... Screening Tests for Acute ... IgM) levels • Hepatitis ... ) • Hepatitis
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tract, and often causes ... vesicular eruption - Joints ... lesions-interstitial keratitis ... vasculitis, and SLE ... #classification
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
diseases, such as SLE ... vesicular eruption • Joints ... tract, and often causes ... Palpable purpura, joint ... - interstitial keratitis
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