9 results
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
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Causes of Knee Effusions ... Framework Knee Effusion ... Infection - Systemic ... - SLE - Behcet ... #msk #physicalexam
Causes of Pericardial Effusion - Differential Diagnosis
Infectious:
 • Viral: Enterovirus, Herpesvirus, Adenovirus, Parvovirus
 • Bacterial: Mycobacterium
Effusion - Differential ... Non-Infectious: • Rheumatologic ... : SLE, Rheumatoid ... Arthritis, Sjogren ... #Effusion #Differential
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Lupus (SLE) General ... 50%): Pleurisy / effusion ... of hip (rare), Arthritis ... #signs #symptoms ... #diagnosis #rheumatology
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus
Clinical Domains:
 • Constitutional domain: Fever
 • Cutaneous domain: Non-scarring
cutaneous lupus • Arthritis ... domain: Pleural or pericardial ... effusion, Acute ... Erythematosus #diagnosis ... #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
suggested by warmth, effusion ... noninflammatory Signs ... non-activity, may have effusion ... the morning • Effusion ... #MSK #rheumatology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
SLE (Systemic Lupus ... Differential Diagnosis ... Lungs: • Pleural effusions ... Serositis: • Pleural/pericardial ... #Rheumatology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
Regional wall motion, systolic ... effusion or expanding ... pericardial effusion ... poor prognostic signs ... #differential #diagnosis
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial ... effusion. ... expiration not meeting diagnostic ... Echocardiogram #a4c
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
overlaps with RA, SLE ... thickening or effusion ... phenomenon (16%) MSK ... Arthralgia and Arthritis ... Sjogrens #Syndrome #Rheumatology