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diagnosis differential treatment dermatology oncology disease hepatology syndrome criteria erythematosus lupus sle comparison systemic algorithm hemophagocytic hlh lymphohistiocytosis workup arthritis
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint ... 3) Number of Joints ... acute rheumatic fever ... Number of Joints ... #rheumatology #
Skin Conditions Associated with Joint Pain Rash • Human parvovirus B19 infection Malar rash • SLE • Human parvovirus B19 infection •
Associated with Joint ... • Rheumatic fever ... Sarcoidosis #dermatology ... #joint #pain #skin ... differential #diagnosis #rheumatology
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Hyperthyroidism Fever ... • Rheumatic fever ... SLE, Rheumatic fever ... • New murmur, fever ... differential #diagnosis #rheumatology
Myositis and Myopathies Polymyositis • Progressive, symmetric muscle weakness • Elevated CK, +Anti-Jo, +Anti-Mi2 Dermatomyositis
stiffness in proximal joints ... , Fever, No muscle ... muscle pain and/or joint ... myopathy) VA Joint ... diagnosis #comparison #rheumatology
Macrophage Activation Syndrome (MAS) Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH) What? A subset of
disease • Periodic fever ... multiorgan failure • Fever ... - Nonremitting fever ... ALT ↑ bilirubin level ... #Hematology #Rheumatology
Adult Onset Still's Disease - Yamaguchi Criteria Major criteria: - Fever >= 39C lasting >= 1 weeks
criteria: - Fever ... with concomitant fever ... Abnormalities in liver ... #Major #Minor #Rheumatology
Temporal (Giant cell) Arteritis Risk Factors: • Age (almost never occurs before age 50) Clinical: •
• Age (almost never ... Arteritis #Diagnosis #Rheumatology
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
(SLE) General: Fever ... phenomenon (20%) Joints ... Arthritis in small joints ... symptoms #diagnosis #rheumatology
Spontaneous Bacterial Peritonitis Clinical • Fever • Chills • Abdominal pain Diagnosis
Clinical • Fever ... stain/culture Management ... SBP #Diagnosis #Hepatology
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
involving small joints ... • synovitis; joint ... tenderness • joint ... Arthritis #diagnosis #management ... #rheumatology
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