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diagnosis clinical rheumatology symptoms acromegaly arteritis autoimmune behcet boxers buffalohump cushings disease endocrinology fingernails fracture gca giantcell infection lymphocutaneous metacarpal
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck - Common in
falls onto the hand ... ulnar part of hand ... Always check for skin ... – compartment syndrome ... open fracture Hand
Cushing's Syndrome - Moon Facies, Buffalo Hump, Abdominal Striae, Thin Skin A young man presents with rapid
Cushing's Syndrome ... Abdominal Striae, Thin Skin ... gain (license photo ... the patient's hand ... #Signs #MoonFacies
Lymphocutaneous Sporotrichiosis Infection Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis? Lymphocutaneous
trauma leads to skin ... painless, no systemic signs ... biopsy preferred Differential ... Infection #clinical #photo ... #hand
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
response to local skin ... Behcet disease) Differential ... inhibitors • Uveitis- Ophthalmology ... #diagnosis #management ... #signs #symptoms
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
macrognathia), ↑ hand ... , hair growth, skin ... tags, skin thickening ... Differential Diagnosis ... Beckwith Wiedemann syndrome
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Vasculitis Differential ... purpura: Strong sign ... occasional oligoclonal bands ... #Vasculitis #Differential
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
very remarkable w/differential ... variably: On one hand ... required due to skip ... required +/- prompt ophthalmology ... Symptoms #Diagnosis #Management
Terry's Nails Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
in addition to signs ... skin stretch marks ... such as nephrotic syndrome ... #Fingernails #Hands ... PhysicalExam #Clinical #Photo
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... ) • Anti-Mi2 (skin ... Gottron sign) ... • Shawl sign • ... • Mechanic's hands
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