12 results
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
50%): Pleurisy / effusion ... , Restrictive lung ... phenomenon (20%) Joints ... Demyelinating syndromes ... symptoms #diagnosis #rheumatology
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
Systemic Sclerosis ... pericarditis • Hepatic: PBC ... (interstitial lung ... Musculoskeletal: joint ... Scleroderma #SSc #rheumatology
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Septic Arthritis on POCUS ... WBC/CRP/ESR elevated ... Arthrocentesis-64K WBC ... #POCUS #clinical ... #ultrasound #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
, erythema and WBC ... with few WBCs ( ... - Autoimmune Rheumatologic ... Differential #Diagnosis #MSK ... #rheumatology #
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
great toe pain-MTP joint ... POCUS revealed joint ... MTP joint. ... WBC-48K. ... #ultrasound #MSK
Paraproteinemias

Entities That Can Feature A Monoclonal Protein/M Component:
• MM
• WM
• MGUS
• MGCS
• MGRS
• Splenic Marginal Zone
clubbing Clarkson/Systemic ... neuropathy) • Systemic ... +Organomegaly+↑RBC ... Scleromyxedema (CNS+GI+CVS+joints ... Paraproteinemias #Hematology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Non-autoimmune rheumatologic ... : • Pleural effusions ... : • Joint pain ... arthropathy • 90% joints ... titers > 1:80 • CBC
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
there so many RBCs ... to produce more RBCs ... frequently affected systems ... else is driving RBC ... , this list is long
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
vesicular eruption - Joints ... VASCULITIS: • Behçet Syndrome ... • Cogan Syndrome ... Lab Tests: • CBC ... differential #diagnosis #rheumatology
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Central nervous system ... thickening or effusion ... phenomenon (16%) MSK ... MALT Lymphoma • Lung ... #Rheumatology #