10 results
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Autoimmune Myositis ... heliotrope rash, Shaw sign ... , holster sign, ... Can also see mechanics ... Myositis #diagnosis #rheumatology
Metatarsal Gout on POCUS

Painful and swollen 1st metatarsal. Double contour sign. Diagnosis? Gout. 

Global Ultrasound Institute
Metatarsal Gout on POCUS ... Double contour sign ... Global Ultrasound ... #clinical #rheumatology ... #ultrasound
TIE Fighter Sign on POCUS - Uterus floating in pelvic ascites
Not uncommon during nephrology rounds in
TIE Fighter Sign ... Note in long axis ... #TIEFighter #Sign ... #POCUS #ultrasound ... clinical #ascites #pelvis
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
overlaps with RA, SLE ... Nephrogenic DI Hematologic ... MALT Lymphoma • Lung ... Sjogrens #Syndrome #Rheumatology ... #Diagnosis #Management
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Apnea/poor effort, Signs ... Binder) • Use POCUS ... ↓ BP is a late sign ... normalized vital signs ... Survey #CABCDE #management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... not possible • Ultrasound ... double contour sign ... +Radiographic signs ... #treatment #rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diseases, such as SLE ... purpura: Strong sign ... Multinucleated giant cells ... Differential #Diagnosis #Rheumatology
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis ... RP-ILD), dermato-rheumatologic ... papules and Gottron sign ... ) • Shawl sign ... Myositis #Myopathy #rheumatology
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
chest (in a V-sign ... shoulders (in a shawl sign ... Non-small-cell lung ... Dermatomyositis #diagnosis #management ... #rheumatology #
Hemophagocytic Lymphohistiocytosis (HLH)

High mortality without prompt recognition and management. HLH is a critical diagnostic consideration in
recognition and management ... Malignancies ▪ Autoimmune ... Presentation • Common Signs ... Infections, malignancy, autoimmune ... #Hematology #HemeOnc