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Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitis and Vasculitides ... often causes arthritis ... - Thrombosis ... , and SLE) • Urinalysis ... #rheumatology #
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
POCUS with IJ Thrombosis ... Differential/diagnosis ... Had septic emboli ... in lungs ... #RIJ #Neck #POCUS
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diseases, such as SLE ... often causes arthritis ... pain and GN Anti-GBM ... Thrombosis and arterial ... #Rheumatology
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Infection - Vasculitis ... lesions • Severe pain ... - Autoimmune Vasculitis ... - Cholesterol embolism ... ultrasound #
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
vasculitis, rheumatoid ... Arthritis: • Joint pain ... • Swan neck/Ulnar ... • Mesenteric vasculitis ... inflammation Cutaneous Vasculitis
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Sagittal View

Male with high fever and right
POCUS with IJ Thrombosis ... Differential/diagnosis ... Had septic emboli ... in lungs ... #RIJ #Neck #POCUS
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint Pain ... Lyme disease, Vasculitis ... swan-neck deformities ... #differential #diagnosis ... #rheumatology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... • Autoimmune (SLE ... Cerebral > Splenic, pulmonary ... valvular disease • Vasculitis ... • Nonbacterial thrombotic
Sjogren's Syndrome Overview

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

Autoimmune exocrinopathy multisystemic disease
overlaps with RA, SLE ... ab • RF • Antinuclear ... ) • Cutaneous vasculitis ... : 2% Systemic Vasculitis ... MALT Lymphoma • Lung