22 results
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Pain - Diagnostic ... infections (bacterial ... - parvovirus, HIV ... #rheumatology # ... #differential #diagnosis
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... CD4 < 200: CMV, HSV ... and sputum cx (Bacterial ... #workup #diagnosis
Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
Etiologies of pulmonary ... infections according ... galactomannan, HSV ... immunofluorescence, PCR ... #Differential #Diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Arthritis Differential Diagnosis ... - Autoimmune Rheumatologic ... Parvovirus B19 • HIV ... #Differential #Diagnosis ... #MSK #rheumatology
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
or viral infection ... Wilson's disease Pulmonary ... syndrome - SLE Neurologic ... #differential #diagnosis ... #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Calcium oxalate Infectious ... related to bacterial ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
intracellular rod-shaped bacteria ... Response: • Most bacteria ... • HIV: 2/3 pulmonary ... Tuberculosis Diagnosis ... staining, NAA (PCR
Cytomegalovirus (CMV) in HIV-AIDS Patients
Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family.
CMV infection: virus isolation or detection
CMV infection: virus ... Diagnosis: Quantitative ... PCR and CMV pp65 ... 50 or less: • Neurologic ... Pancreatitis • Pulmonary
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
intracellular rod-shaped bacteria ... Response: • Most bacteria ... • HIV: 2/3 pulmonary ... Tuberculosis Diagnosis ... staining, NAA (PCR
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... disorder (Cardiac, pulmonary ... parainfluenza, Coxsackie, HIV ... , CMV, EBV - Bacterial ... #neurology