9 results
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Abdominal pain (20%) Renal ... SLE #systemic #erythematosus ... #signs #symptoms ... #diagnosis #rheumatology
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... Systemic lupus erythematosus ... confirm DAH, rule out ... #differential #diagnosis ... #nephrology
Metatarsal Gout on POCUS

Painful and swollen 1st metatarsal. Double contour sign. Diagnosis? Gout. 

Global Ultrasound Institute
Double contour sign ... Diagnosis? ... Global Ultrasound ... POCUS #clinical #rheumatology ... #ultrasound
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Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
ischemia - Skin: erythematous ... systemic lupus erythematosus ... purpura: strong sign ... Vessels: Supply gut ... #rheumatology #
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... not possible • Ultrasound ... double contour sign ... +Radiographic signs ... #treatment #rheumatology
Causes of Cystic Renal Mass - Differential Diagnosis Algorithm
Benign - Anechoic on ultrasound, Well-demarcated on ultrasound/CT,
Causes of Cystic Renal ... - Differential Diagnosis ... Carcinoma - No signs ... Cystic #RenalMass #Nephrology ... #Differential #Diagnosis
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
pulmonary and renal ... purpura: Strong sign ... ischemia • Skin: Erythematous ... purpura, joint & gut ... #Rheumatology
Scleroderma Renal Crisis (SRC)

Clinical Presentation of Scleroderma Renal Crisis:
1) Acute kidney injury
2) Abrupt onset of hypertension
3)
Scleroderma Renal ... Biopsy to confirm diagnosis ... and rule out other ... #Crisis #rheumatology ... #nephrology #diagnosis
Anti-NXP-2 Dermatomyositis

What?
DM with generalized subcutaneous edema
Pts have more myalgias, more severe weakness, and an increased prevalence
with edema • Erythematous ... chest (in a V-sign ... shoulders (in a shawl sign ... • Clear cell renal ... #management #rheumatology