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diagnosis differential rheumatology testing arthritis causes pain polycythemia vasculitis anemia approach chronic classification conditions endocrinology erythrocytosis extrarticular fatigue hemolytic hyperthyroid
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
), RA, crystal disease ... Inflammatory, crystalline disease ... Chronic = RA, SLE ... #rheumatology # ... approach #workup
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Pulmonary ... • Pulmonary ... Heberden's nodes (DIP joints ... differential #diagnosis #rheumatology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... Key teaching point ... affects diagnostic workup ... management options (see ... #Workup #Endocrinology
Causes of Polycythemia (Erythrocytosis) - Differential Diagnosis Algorithm Relative - Normal RBC Mass / Decreased Plasma Volume
Differential Diagnosis Algorithm ... • Burns • Diarrhea ... Cyanosis without Pulmonary ... Apnea • Chronic Pulmonary ... #Causes #Hematology
Hemolytic Anemia - Differential Diagnosis Algorithm • Sickle cells - Consider sickle cell disease (diverse genotypes):
Differential Diagnosis Algorithm ... Consider sickle cell disease ... ): SS, SC, SE, Sβ ... Differential #Diagnosis #Algorithm ... #workup #hematology
Systemic Sclerosis (Scleroderma) Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs 3
Multi-system autoimmune disease ... calcinosis • Pulmonary ... ), PAH (pulmonary ... Musculoskeletal: joint ... symptoms #testing #workup
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... spondylitis - Sacroiliac joint ... of the affected joint ... • Sacroiliac joint ... Arthritis #laboratory #workup
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Differential Diagnosis Algorithm ... Neoplastic / Hematologic ... Arthritis • SLE ... Chronic Obstructive Pulmonary ... Disease Neurologic
Polycythemia - Differential Diagnosis Algorithm Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Differential Diagnosis Algorithm ... Better call hematology ... some time, let’s see ... As with many disease ... #workup #hematology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
progressing GN • New pulmonary ... glomerulonephritis and/or pulmonary ... arthritis, obstructive pulmonary ... vesicular eruption - Joints ... vasculitis, and SLE
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