11 results
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
, and back and shoulders ... anti-NXP2 Abs Lung ... #AntiMDA5 #Dermatomyositis ... #rheumatology # ... dermatology #diagnosis
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
- Differential Diagnosis ... Temporal arteritis should ... subdural hematoma, lung ... vision or black spots ... #differential #diagnosis
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
pleuritic chest pain ... should alert you ... hyperventilation syndrome—a ... Occasional sighs ... Abnormalities #Abnormal #Diagnosis
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... granulomas within the lungs ... symptoms are not caused ... anterior/posterior MSK ... #Management #Signs
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Arthritis Differential Diagnosis ... axial (spine, shoulders ... noninflammatory Signs ... weeks) Can Be Caused ... #MSK #rheumatology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Long symptom-free ... insufficiency (VBI) - Should ... Syndrome usually ... varying neurologic signs ... #differential #diagnosis
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary

WHAT?
 • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
disease of unknown cause ... proximal muscle pain ... universally used, ultrasound ... of the shoulders ... #Management #Rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... proximal muscles of shoulder ... tract, and often causes ... involvement, abdominal pain ... #Rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
sex • Metabolic syndrome ... swelling, significant pain ... not possible • Ultrasound ... double contour sign ... management #treatment #rheumatology
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
RP-ILD), dermato-rheumatologic ... papules and Gottron sign ... ) • Shawl sign ... statins - probably caused ... Myositis #Myopathy #rheumatology