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diagnosis dermatology differential management poikiloderma rash antinxp2 arteritis autoimmune cardiology civatte cutaneous erythematosus findings gca giantcell hematoma lupus myopathy myositis
Cutaneous and Systemic Findings in Dermatomyositis Cutaneous Findings: - Heliotrope sign and edema - Nail-fold changes -
- Heliotrope sign ... Poikiloderma and V-neck ... sign or shawl sign ... - Gottron's sign ... #Diagnosis #Rheumatology
Shawl sign poikiloderma in Dermatomyositis Poikiloderma in general is a common finding in older individuals with chronic
Shawl sign poikiloderma ... along with other signs ... RashDecisionz #Shawl #sign ... #Dermatology #Clinical ... #Photo #Neck
Anti-NXP-2 Dermatomyositis What? DM with generalized subcutaneous edema Pts have more myalgias, more severe weakness, and an increased prevalence
weakness in the neck ... chest (in a V-sign ... shoulders (in a shawl sign ... auricular papules Clinical ... #AntiNXP2 #Dermatomyositis
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... signs/sx of inflammation ... vision changes, etc ... them, but urgent rheumatology ... GCA #Temporal #Signs
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Cardiac, pulmonary etc ... central nervous system ... Peripheral Nervous System ... Lack of UMN/LMN signs ... Muscle Biopsy: Dermatomyositis
Poikiloderma of Civatte (Photodamage Poikiloderma) Poikiloderma in general is a common finding in older individuals with chronic
poikiloderma of dermatomyositis ... along with other signs ... #Dermatology #Clinical ... #Photo #Neck
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
SLE (Systemic Lupus ... ) Suspect: Clinical ... Still disease, dermatomyositis ... Non-autoimmune rheumatologic ... Joint pain • Swan neck
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Aldolase levels • EMG ... RP-ILD), dermato-rheumatologic ... papules and Gottron sign ... ) • Shawl sign ... • Conduction system
Pocket Hematoma after Pacemaker Placement A rare, but can't-miss complication from pacemaker placement. Low incidence (1-9%) overall,
compression vests etc ... Systemic antibiotics ... signs (fever), ... Pocket #Hematoma #clinical ... #Pacemaker #photo
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