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differential addiction dermatology management pathophysiology rheumatology symptoms algorithm assessment blood classification clinical cows cutaneous dermpath drug endocrinology excess extraarticular false
Dermatological semiology of Cutaneous Vasculitis Clinicopathologic correlations • Purpura, papules, pustules, necrosis: involvement of small vessels
Identification of causes ... Connective tissue disease ... (5%): PAN > GPA ... dermatology #semiology #signs ... #lesions #diagnosis
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential Diagnosis ... tract, and often causes ... tract: abdominal pain ... purpura: strong sign ... , testes -> pain
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
basement membrane disease ... syndrome: • Flank pain ... hematuria • Signs ... GN or vasculitis ... of glomerular disease
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Diagnosis Framework ... Differential Diagnosis ... purpura: Strong sign ... tract, and often causes ... involvement, abdominal pain
Growth Hormone Excess - Pathogenesis and clinical findings • Acromegaly and gigantism share the same pathophysiology
• Other rare causes ... tolerance • Weight gain ... Cardiovascular disease ... Overproduction #diagnosis ... #signs #symptoms
Rheumatoid arthritis (RA): Extra-articular manifestations Skin: • Inflammation of skin (esp. over areas of stress) forms
blood vessels (vasculitis ... inflammation tends to cause ... interstitial lung disease ... pathophysiology #signs ... #symptoms #diagnosis
Medications that Can Cause False Positives on Drug Tests Urine drug screens (UDSs) are simple to use,
efavirenz (Sustiva) • Pain ... • Coca tea Buprenorphine ... • Verapamil Opioids ... and opiates false ... #differential #diagnosis
Clinical Opioid Withdrawal Score (COWS) Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... patient was having pain ... attributed to opiate ... Withdrawal #Scale #Buprenorphine ... #Score #Diagnosis
Quick Guide: Buprenorphine Initiation Algorithm Adjunctive meds: The following can be prescribed PRN for symptoms of withdrawal
Quick Guide: Buprenorphine ... q 6 hours PRN nausea ... Support for Hospital Opioid ... Use Treatment (SHOUT ... Management #Addiction #Opiate
Sweet Syndrome Acute febrile neutrophilic dermatosis (Sweets Syndrome) is a skin condition characterized by fever and inflamed
with systemic disease ... Episcleritis Signs ... Inflammation and pain ... Causes: - Idiopathic ... Leukocytoclastic vasculitis
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