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rheumatology treatment differential pathophysiology scleroderma sclerosis vasculitis workup arthritis bakerscyst classification criticalcare diffuse gout ms multiple neurology popliteal rheumatoid sarcoidosis
Systemic Sclerosis (Scleroderma) Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs 3
thickening, distal to elbows ... /wrists and knees ... skin thickening Signs ... #rheumatology #diagnosis ... #signs #symptoms
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Examination: • UMN signs ... Clonus, Babinski’s sign ... • Lhermitte’s sign ... pupillary defect SIGNS ... Signs and symptoms
Diffuse Systemic Sclerosis (Scleroderma) - Pulmonary Fibrosis -> Crackles, Abnormal CXR - Pulmonary Hypertension, Right Heart
Diffuse Systemic ... - Finger/hand/elbow ... contractures - Tendon ... pathophysiology #signs ... #symptoms #diagnosis
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
forefoot, ankles, knees ... , Achilles tendon ... not possible • Ultrasound ... double contour sign ... +Radiographic signs
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
of hands/feet, knees ... , shoulders Signs ... & Symptoms: • ... narrowing) • Ultrasound ... #management #rheumatology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... Setup - Ultrasound ... Tamponade - Pulmonary ... >> Acute PE, Tension
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
and Management ... the lymphatic system ... Pulmonary: dyspnea ... anterior/posterior MSK ... #Management #Signs
Popliteal (Baker’s) Cyst: Pathogenesis and clinical findings • Idiopathic • Meniscal Lesions • Osteoarthritis • Rheumatoid
intra-articular knee ... semimembranosus tendon ... Popliteal #BakersCyst #MSK ... pathophysiology #signs ... #symptoms #diagnosis
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential Diagnosis ... progressing GN • New pulmonary ... Symptoms (Sx) in ... purpura: strong sign ... diminished, or tender
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... Symptoms (SX) in ... purpura: Strong sign ... diminished, or tender ... • Progressive symptoms
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