6 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
or nerve root Symptoms ... Calcium oxalate Infectious ... Acute or chronic infections ... trauma (e.g., meniscal ... approach #workup #differential
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
Pain (Otalgia) - Differential ... the following symptoms ... Cervical spine arthritis ... • Associated symptoms ... vision or black spots
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
Childhood Immunization ... Tetanus Toxin -> Spores ... altered LOC; septic arthritis ... lymph -> Koplik's spots ... peds #pediatrics #pathophysiology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
acute respiratory symptoms ... Rheumatologic symptoms ... Inhalation of spores ... Aspergillosis Pathophysiology ... Meningitis, septic arthritis
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
, inflammatory arthritis ... permanent alopecia Differential ... fibromyalgia) • Infections ... • Malar rash - spares ... Induced Lupus: • Symptoms
PFAPA Syndrome - Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Adenitis

EPIDEMIOLOGY:
PFAPA is the most common syndrome entailing
fever (FMF) PATHOPHYSIOLOGY ... DIFFERENTIAL DIAGNOSIS ... often paired with arthritis ... during attacks; arthritis ... upper respiratory infection