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differential rheumatology signs erythematosus lupus monoarthritis monoarticular msk polyarthritis polyarticular systemic vasculitis arthropathies arthropathy cardiology classification disease disorders ecg ekg
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
• Reactive arthritis ... • Psoriatic arthritis ... • Rheumatoid Arthritis ... Erythematosus (SLE ... should have other symptoms
Stages of Syphilis Early Primary: • Painless chancre • Regional lymphadenopathy Early Secondary: • Fever, malaise • Rash
Stages of Syphilis ... aortic aneurysm, arteritis ... unknown - VA Joint ... #symptoms #signs ... #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis ... arthritis • Adult ... • Reactive arthritis ... • Lyme arthritis ... #Arthritis #
Lyme Disease: Early and Late Clinical manifestations Stage 1. Localized • EM appears 7-14 days at the
manifestations Stage ... rare and mild Stage ... years after • Arthritis ... Lyme #Disease #diagnosis ... #signs #symptoms
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Systemic Lupus (SLE ... of hip (rare), Arthritis ... in small joints ... erythematosus #signs ... #symptoms #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
infarct STEMI - J point ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... T waves - starts ... Ischemia #ECG #EKG #diagnosis
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
- Differential Diagnosis ... Algorithm Red ... Altered mental status ... ) • Systemic symptoms ... ) • Temporal arteritis
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
diseases, such as SLE ... GCA (Giant Cell Arteritis ... mucositis • Rash, arthritis ... and often causes arthritis ... Glomerulonephritis, arthritis
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
, inflammatory arthritis ... vasculitis, rheumatoid arthritis ... lung syndrome Arthritis ... Induced Lupus: • Symptoms ... limited to: Arthritis
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
and often causes arthritis ... Glomerulonephritis, arthritis ... mucositis - Rash, arthritis ... purpura: strong sign ... vasculitis, and SLE
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