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diagnosis management msk symptoms approach arteritis autoimmune cardiology conditions disease electrocardiogram elevation erythematosus extrarticular gca giantcell laboratory lupus monoarthritis monoarticular
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
: • Acute or chronic ... alterations (e.g ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... Wilson's disease Pulmonary ... disease, Vasculitis (e.g ... #pain #differential ... #diagnosis #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Pain - Arthritis ... Differential Diagnosis ... noninflammatory Signs ... Gonococcal/Lyme etc ... Joint #pain #Differential
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... not be subtle e.g ... very remarkable w/differential ... E.g. 80 yo ESR cutoff ... them, but urgent rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... Screening Tests for Acute ... inflammatory disease (e.g ... Chemistry profile (e.g ... , and low back pain
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Classification: • Acute ... permanent alopecia Differential ... • Malignancy (e.g ... Endocrine disorders (e.g ... : • Joint pain
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... QRS complex Pulmonary ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
of diagnosis (e.g ... Pulmonary: dyspnea ... Extrapulmonary: ankle arthritis ... sarcoidosis Pulmonary ... Diagnosis #Management #Signs
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
disorder (Cardiac, pulmonary ... Impairment: • Acute ... Lack of UMN/LMN signs ... dystrophies Work ... electromyographic (EMG
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... Aldolase levels • EMG ... ) • Shawl sign ... Syndrome: Fever, joint ... • Nonerosive arthritis
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