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rheumatology differential management erythematosus joint latent lupus myelitis neurology pain primary secondary sjogrens sle staging syndrome syphilis systemic tertiary workup
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Approach to Joint ... or nerve root Symptoms ... e.g., meniscal tears ... #Joint #Pain #MSK ... #differential #diagnosis
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
peaks between the ages ... Bilateral signs and/or symptoms ... Myelitis Diagnosis ... negative, MOG-IgG test ... #Myelitis #diagnosis
The Stages of Syphilis Primary Syphilis - The chancre lesion is the hallmark of primary syphilis.
- Ocular syphilis ... exposure to or symptoms ... within the last year ... aneurysm and coronary arteritis ... Latent #Tertiary #Diagnosis
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Female • Peaks 3rd ... Erythematous, macular ... Differential Diagnosis ... neuropathy • Transverse ... Induced Lupus: • Symptoms
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
gland) biopsy • Ocular ... peripheral neuropathy, transverse ... phenomenon (16%) MSK ... Arthralgia and Arthritis ... Symptomatic: artificial tears
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