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differential signs rheumatology management vasculitis classification disease giantcell primary rheumatoid secondary temporal algorithm behcet cardiology clues comparison complications coronaries coronaryartery
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
myocarditis, coronary arteritis ... SLE, Reactive arthritis ... melanoma • Arthritis ... SLE, Reactive Arthritis ... Recurrent and chronic arthritis-Azathioprine
Headache Syndromes Sudden onset of pain - "Thunder clap" with any decreased mentation, any positive focal
Headache Syndromes ... • Temporal arteritis ... tearing • Temporal arteritis ... #Syndromes #diagnosis ... #symptoms
Giant Cell (Temporal) Arteritis: Clinical findings and Complications Signs/Symptoms: - Headache (usually constant, superimposed by waves
Cell (Temporal) Arteritis ... : - Headache ... artery tender, nodular ... GiantCell #Temporal #Arteritis ... #diagnosis #Vasculitis
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
- Differential Diagnosis ... papilledema • Horner syndrome ... ) • Systemic symptoms ... ) • Temporal arteritis ... #Algorithm #neurology
Highlighted Conditions With Arteritis or Periarteritis of the Coronaries Takayasu's arteritis: - Onset < 40 yrs -
Conditions With Arteritis ... Coronaries Takayasu's arteritis ... BP Giant cell arteritis ... (Headache, jaw ... CoronaryArtery #Coronaries #Arteritis
Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... - Temporal arteritis ... pulsations on funduscopy ... #signs #symptoms ... #differential #diagnosis
Lyme Disease: Early and Late Clinical manifestations Stage 1. Localized • EM appears 7-14 days at the
myalgia, arthralgia, headache ... • Heralded by neurologic ... years after • Arthritis ... Lyme #Disease #diagnosis ... #signs #symptoms
Rheumatoid Arthritis - 2020 ACR-EULAR Classification ≥ 6 of 10 points = definite RA Joint Involvement:
Rheumatoid Arthritis ... joint) - 5 points Serology ... points Duration of symptoms ... #Rheumatoid #Arthritis ... #diagnosis #EULAR
Headaches Overview - Primary vs Secondary Headaches What’s the Core Difference? • Primary headache = headache is
symptom of something ... concussion) • Arteritis ... e.g., temporal arteritis ... ) • Temporal arteritis ... #Diagnosis
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
GCA (Giant Cell Arteritis ... 50 years • New headache ... mucositis • Rash, arthritis ... and often causes arthritis ... Glomerulonephritis, arthritis
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