15 results
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitis and Vasculitides ... - Differential Diagnosis ... and peripheral nerves ... purpura: strong sign ... diminished, or tender pulses
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA)

1) Is visual loss caused
neuropathy (AION ... nerve caused by ... Doppler US : halo sign ... #Rheumatology #Ophthalmology ... #Diagnosis #Algorithm
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... < 30 years • Aorta ... claudication, pulse ... Arteritis): • Aorta ... muscle weakness • Nerves
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Inflammatory: Vasculitis ... multiplex (DM, Vasculitis-polyarteritis ... anti-Jo-1] - (Vasculitis ... dystrophies, or vasculitis ... #neurology
Transient Monocular Vision loss - Differential Diagnosis
Ischemia	
 - Large artery disease (atherothrombosis, embolus, dissection).
  -
- Differential Diagnosis ... neuropathy, vasculitis ... Caused by decreased nerve ... nerve compression ... #Ophthalmology
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Butterfly rash, Vasculitis ... Polyneuropathy, Cranial nerve ... Endocarditis, Aortic ... erythematosus #signs ... #symptoms #diagnosis
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
meningeal irritation signs ... headache • CNS Vasculitis ... the trigeminal nerve ... #ophthalmology ... #Neurology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
, small-vessel vasculitis ... panuveitis, retinal vasculitis ... skin injury) • Neurologic ... MCC-small vessel vasculitis ... #management #signs
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic inflammatory vasculitis ... with systemic, neurologic ... those coming off aorta ... = vasculitis vs ... required +/- prompt ophthalmology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... hematuria • Signs ... - RBC casts → Diagnostic ... of GN or vasculitis ... renal vein between aorta