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differential cardiology rheumatology management algorithm dermatology infections infectiousdiseases symptoms vasculitis antibody arteritis arthritis autoimmune canimorsus capnocytophaga classification clinical comparison erythematosus
Systolic Murmurs - Differential Diagnosis Algorithm Benign / Flow / Hyperdynamic: • Pregnancy • Fever • Anemia Supravalvular
Systolic Murmurs ... - Differential Diagnosis ... • Fever • Anemia ... Carcinoid #Systolic ... #Algorithm #causes
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Pericarditis, Endocarditis ... , Aortic valve lesions ... ) Blood (75%): Anemia ... erythematosus #signs ... #symptoms #diagnosis
Warm Antibody Autoimmune Hemolytic Anemia 1) DIAGNOSE AIHA • Anemia: macrocytic > normocytic, ↑ reticulocytes •
1) DIAGNOSE AIHA ... reticulocytes • Hemolysis ... 2) LOOK FOR a cause ... → Systematic screening ... #treatment #rheumatology
Nail Disorders secondary to Systemic Diseases Nail Fold Abnormality • SLE • Scleroderma • Dermatomyositis Koilonychia - Spoon-shaped
Iron deficiency anemia ... • Bacterial endocarditis ... #Secondary #dermatology ... #Differential #Diagnosis ... #Algorithm #causes
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... Vascular: • Systemic ... Septic Emboli Cause ... Leukocytosis, anemia ... Treat underlying cause
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... features: Fever -, Systemic ... features: Fever +, Systemic ... in up to 30% of cases ... dysfunction common, Aortic
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology Pulse pressure is the difference between the systolic blood
- Differential Diagnosis ... disorders: - Aortic ... regurgitation - Aortic ... iron deficiency anemia ... • Infective Endocarditis
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... signs/sx of inflammation ... complaints- anemia ... identifies 85 to 95% of cases ... GCA #Temporal #Signs
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Ovarian CA, involves aortic ... Vascular: • Systemic ... Leukocytosis, anemia ... Treat underlying cause ... block, annular or aortic
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
- Differential Diagnosis ... Non-Infectious Causes ... Brucellosis Faget's Sign ... with profound hemolysis ... #Differential #Diagnosis
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