10 results
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad: Fever ... Arthralgia/arthritis, Skin ... fraction < 20% Differential ... borrelia, Rubeola, HBV ... Coxsackie, CMV, EBV, HIV
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Sexual contacts - HIV ... Hypodermic needles - HIV ... , HIV infection, ... , acute HIV infection ... HIV infection
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... purple, hemorrhagic skin ... • HCV, HBV Not ... mountain spotted fever ... #rheumatology #
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Fever/Chills/Joint ... Brucellosis - Viruses: HIV ... Chikungunya - Herpes ... virus: CMV, HSV ... diagnosis #msk #physicalexam
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Coronary arteries - Fever ... Vasculitis: • Fevers ... Cryoglobulins • HIV ... • HBV HCV • ... #diagnosis #rheumatology
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Epidural abscess - Herpes ... zoster - HIV ... pain/swelling - Fever ... extremity #msk #physicalexam
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
of treatment of HIV ... • 10-20% of HIV-infected ... a decrease in HIV ... pancreatitis • HBV ... , HCV - Hepatic
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
Washed RBC • Single ... infections with skin ... Extremely rare - HIV ... 2,000,000,000, HBV ... in 100,000,000, HCV
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
acute rheumatic fever ... - parvovirus, HIV ... , hepatitis, herpes ... Joint #Pain #MSK #rheumatology ... approach #workup #differential
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... Vasculitis: • Fevers ... muscle weakness • Nerves ... HTN • Check: HBV ... #Diagnosis #Rheumatology