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management dermatology dermatomyositis lupus sle systemic antimda5 antimda5dm antinxp2 antinxp2dm arthritis contusion ctchest differential duodenal freeair fungal infections infectiousdiseases mycoses
Clinical Features of Systemic Lupus (SLE) General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%) Eye: Sjögrens (15%) Skin
Clinical Features ... effusion, Restrictive lung ... valve lesions Abdominal ... #signs #symptoms ... #diagnosis #rheumatology
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... Differential Diagnosis ... Non-autoimmune rheumatologic ... Arthritis: • Joint ... #Diagnosis #Rheumatology
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
knees, shoulders Signs ... narrowing) • Ultrasound ... Diagnosis: CLINICAL ... DIAGNOSIS based ... #management #rheumatology
ANTI-MDA5 DERMATOMYOSITIS Cutaneous manifestations: • Periorbital heliotrope (blue-purple) rash with edema • Erythematous rash on the face, or the
with edema • Erythematous ... auricular papules Clinical ... anti-NXP2 Abs Lung ... Dermatomyositis #rheumatology ... #dermatology #diagnosis
Pneumoperitoneum via Perforated Duodenal Ulcer- Free Air on Abdominal POCUS Young patient with diffuse abdominal pain...don't let
ultimately was diagnosed ... Teaching point: ... get fooled by lung ... #POCUS #ultrasound ... #clinical
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 Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... ischemia • Skin: Erythematous ... multiplex • GI tract: Abdominal ... gut involvement, abdominal ... #Rheumatology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
pulmonary symptoms • Rheumatologic ... has five major clinical ... Pulmonary 3) Abdominal ... change in the lungs ... nails, bronchi, lungs
Anti-NXP-2 Dermatomyositis What? DM with generalized subcutaneous edema Pts have more myalgias, more severe weakness, and an increased prevalence
chest (in a V-sign ... shoulders (in a shawl sign ... auricular papules Clinical ... Non-small-cell lung ... #management #rheumatology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
There is point tenderness ... Vital signs: BP ... This patient’s clinical ... of breath and point ... consider intra-abdominal
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