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management differential aion algorithm anteriorischemicopticneuropathy contusion ctchest ear erythematosus fungal giantcell giantcellarteritis infections infectiousdiseases lupus mycoses otalgia otolaryngology otology polychondritis
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA) 1) Is visual loss caused
visual loss caused ... Clinical manifestations ... Abnormal TAB ... #Rheumatology # ... Ophthalmology #Diagnosis
Ear Pain (Otalgia) - Differential Diagnosis Framework Primary Otalgia - Pain that originates from the ear
- Differential Diagnosis ... /squamous cell CA ... subdural hematoma, lung ... vision or black spots ... cervical spine #Earpain
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
arteritis (GCA) ... Diagnosis = clinical ... them, but urgent rheumatology ... required +/- prompt ophthalmology ... presence/absence of visual
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
claudication, visual ... develop in pts with GCA ... tract: Abdominal pain ... tract, and often causes ... #Rheumatology
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... Clinical Features ... syndrome Arthritis ... : • Joint pain ... #Rheumatology
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
gland) biopsy • Ocular ... salivary ducts Clinical ... Arthralgia and Arthritis ... MALT Lymphoma • Lung ... #Rheumatology #
Relapsing Polychondritis What is it? Recurrent inflammation of the cartilage in the body (Autoimmune disorder) Who? • Most frequently: 40
Sudden onset of pain ... the most common clinical ... chondritis • Ocular ... Polyarteritis Nodosa, GCA ... Polychondritis #rheumatology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
symptoms • Rheumatologic ... , chest pain • ... Inhalation of spores ... , ocular, or disseminated ... Meningitis, septic arthritis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
breath and chest pain ... located chest pain ... This patient’s clinical ... exam findings and clinical ... Due to their short
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