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diagnosis rheumatology joint management algorithm approach arteritis causes chronic conditions crisis criticalcare erythematosus extrarticular fatigue gca giantcell lupus msk myastheniagravis
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
joint trauma (e.g ... subchondral bone (e.g ... derangements (e.g ... #approach #workup ... #differential #
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint Pain ... Wilson's disease Pulmonary ... disease, Vasculitis (e.g ... conditions #joint #pain ... #differential #
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Neoplastic / Hematologic ... Hepatitis • HIV Autoimmune ... • Rheumatoid Arthritis ... Chronic Obstructive Pulmonary ... • Drug Abuse (e.g
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Phos), CBC with differential ... - Infectious workup ... oral secretions (e.g ... Drugs to avoid (main
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
not be subtle e.g ... very remarkable w/differential ... E.g. 80 yo ESR cutoff ... claudication: pain ... chews, not just pain
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... disease • Non-autoimmune ... • Malignancy (e.g ... Endocrine disorders (e.g ... : • Joint pain
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... disorder (Cardiac, pulmonary ... necrotizing myopathy • Autoimmune ... dystrophies Work ... electromyographic (EMG
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
- Differential ... substantial muscle pain ... Aldolase levels • EMG ... • Nonerosive arthritis ... #differential #
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