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differential arthritis ra vasculitis ana antibodies antinuclear classification contusion ctchest extraarticular monoarthritis monoarticular msk myopathy myositis oligoarthritis oligoarticular pain pathophysiology
Systemic Sclerosis (Scleroderma) Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs 3
Multi-system autoimmune ... : ILD (interstitial ... lung disease), ... Musculoskeletal: joint ... #diagnosis #signs
Antinuclear Antibodies (ANA) ANA or Anti-NucIear Antibody refers to antibodies against antigens in the nucleus → like
context of other symptoms ... Bowel Disease, Interstitial ... Pulmonary Fibrosis ... #rheumatology # ... diagnosis #differential
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Arthritis Differential Diagnosis ... • Is there a pattern ... noninflammatory Signs ... constitutional symptoms ... #MSK #rheumatology
Rheumatoid Arthritis - Signs and Symptoms • Ocular: Keratoconjunctivitis sicca, Episcleritis, Scleritis, Scleromalacia perforans • Pulmonary:
: Parenchymal lung ... Renal: Tubulo-interstitial ... Musculoskeletal: Joint ... #Symptoms #diagnosis ... #rheumatology
Rheumatoid arthritis (RA): Extra-articular manifestations Skin: • Inflammation of skin (esp. over areas of stress) forms
pleural effusion on CXR ... tends to cause interstitial ... lung disease/pulmonary ... pathophysiology #signs ... #symptoms #diagnosis
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
RP-ILD), dermato-rheumatologic ... papules and Gottron sign ... ) • Shawl sign ... Syndrome: Fever, joint ... slow onset and pattern
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
vesicular eruption - Joints ... inflammatory lesions-interstitial ... Presentation - Systemic Symptoms ... purpura: strong sign ... #rheumatology #
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... • Progressive symptoms ... Palpable purpura, joint ... inflammatory lesions - interstitial ... #Rheumatology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... a chest x-ray (CXR ... chest radiograph pattern ... not seen on a CXR ... Radiology #CTChest #Lung
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