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management rheumatology pulmonary signs approach arteritis arthritis bronchiectasis causes classification endocrinology giantcell hyperthyroidism joint myelitis neurology polychondritis prs relapsing renal
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
or nerve root Symptoms ... #MSK #rheumatology ... #approach #workup ... #differential # ... diagnosis #arthritis
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
subtle e.g. extreme fatigue ... very remarkable w/differential ... claudication: pain ... the “Chewing gum test ... Treatment of GCA
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism: • Fatigue ... Anterior neck pain ... ↑ AST/ALT • Treatment ... #differential # ... endocrinology #signs #symptoms
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Vasculitides - Differential ... Diagnosis Framework ... Presentation - Systemic Symptoms ... • Fevers • Fatigue ... retinopathy Lab Tests
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... anti-GBM) Other tests ... or serologies + symptoms ... Renal #Syndromes #differential ... #treatment
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation Symptoms ... mucus daily • Fatigue ... weight • Chest pain ... mycobacteria Treatment ... Bronchiectasis #pulmonary #differential
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
or without back pain ... Bilateral signs and/or symptoms ... negative, MOG-IgG test ... Transverse Myelitis Treatment ... management #neurology #differential
Relapsing Polychondritis What is it? Recurrent inflammation of the cartilage in the body (Autoimmune disorder) Who? • Most frequently: 40
ethnicities Symptoms ... Sudden onset of pain ... night sweats, and fatigue ... : • Clinical tests ... affected tissue Treatment
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