15 results
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Metabolic • Renal ... Liver Failure • Hypercalcemia ... Neoplastic / Hematologic ... • Rheumatoid Arthritis ... Obstructive Pulmonary
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Diagnosis: r/o septic arthritis ... treatment • Chronic ... Urate nephropathy, renal ... gout #diagnosis #management ... treatment #ULT #rheumatology
Indications for Serum Protein Electrophoresis (SPEP)
 • Suspected multiple myeloma, Waldenström's macroglobulinemia, primary amyloidosis, or related
chemotherapy, etc ... associated with renal ... suspected • Hypercalcemia ... possible malignancy (e.g ... Electrophoresis #SPEP #Hematology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Agents Regulating Renal ... irrigation • Management ... Torsemide) • Acute pulmonary ... Hyponatremia • Hypercalcemia ... #Medications #Table
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Diagnosis and Management ... hyperphosphatemia, hypercalcemia ... , and possibly renal ... but stable or chronic ... Extrapulmonary: ankle arthritis
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
not be subtle e.g ... E.g. 80 yo ESR cutoff ... vision changes, etc ... them, but urgent rheumatology ... Symptoms #Diagnosis #Management
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
and renal abnormalities ... Eosinophilia, asthma, chronic ... , obstructive pulmonary ... • Urinalysis (Renal ... differential #diagnosis #rheumatology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Non-autoimmune rheumatologic ... APLA/LAC: • Renal ... vein thrombosis Hematologic ... with Lupus: • Chronic ... Erythematosus #Diagnosis #Rheumatology
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
syndrome is a rare chronic ... nonerosive inflammatory arthritis ... Tetracyclines etc ... SAPHO #Syndrome #Rheumatology ... #diagnosis #management
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
progressing GN • New pulmonary ... and renal abnormalities ... GCA (Giant Cell Arteritis ... Eosinophilia, asthma, chronic ... Differential #Diagnosis #Rheumatology