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differential management symptoms vasculitis aion algorithm anteriorischemicopticneuropathy arteritis blurry classification conditions endocrinology extrarticular giantcell giantcellarteritis hyperthyroidism joint polychondritis relapsing temporal
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA) 1) Is visual loss caused
Is visual loss caused ... nerve caused by ... Doppler US : halo sign ... #Rheumatology # ... Ophthalmology #Diagnosis
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
- Differential Diagnosis ... angle-closure glaucoma • GCA ... pain (with or without ... #ophthalmology ... #causes
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... systemic sx + signs ... claudication: pain ... them, but urgent rheumatology ... required +/- prompt ophthalmology
Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint Pain ... Eyes • Iritis ... Diminished peripheral pulses ... #differential #diagnosis ... #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tract, and often causes ... purpura: strong sign ... diminished, or tender pulses ... Eye -> retinopathy ... #rheumatology #
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Anterior neck pain ... Glucocorticoids: Reduce ... • Tremor • Eye ... hyperthyroidism #causes ... endocrinology #signs
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Arthralgias • Eye ... purpura: Strong sign ... < 30 years • Aorta ... tract, and often causes ... #Rheumatology
Relapsing Polychondritis What is it? Recurrent inflammation of the cartilage in the body (Autoimmune disorder) Who? • Most frequently: 40
Sudden onset of pain ... Large vessels (aorta ... ) • Eyes • Inner ... Loss of vision • Aortic ... Polychondritis #rheumatology
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