Rheumatology · Physical Diagnosis PDX

Adult-onset Still’s Disease – Evanescent rash

2 patients · 3 clips

A transient, evanescent, salmon-colored macular or maculopapular skin rash seen in Adult-onset Still’s disease. Rheumatology Patient 1: This is a young woman who presented with weeks of oligoarticular arthritis, daily fe

Dactylitis

1 patients · 1 clips

Patient 1: This patient has

Erythema Ab Igne

2 patients · 2 clips

Patient 1: This patient is a young man with recurrent pancreatitis, noted to have this rash which resembles livedo on his abdomen, although this rash doesn’t fade over time, and is more brown than red. On history, he was

Myasthenia Gravis

1 patients · 1 clips

Card Tutorial Patient 1: This middle-aged man was admitted to the hospital for an unrelated reason, and was found to have fatiguable ptosis on examination. Serologies revealed positive acetylcholine receptor antibodies,

Behcet Disease

1 patients · 5 clips

Patient 1: This is a young man who presents with rash on his legs and scrotum with a year of recurrent “non-Strep strep throat”.

Gout-Synovitis

1 patients · 2 clips

Gout causes inflammatory arthritis, characterized by erythema, pain, and edema of the involved joint on examination. Rheumatology Patient 1: This is an older man with a history of a alcohol abuse who presented with a pai

Pericardial Friction Rub

1 patients · 2 clips

A pericardial friction rub is the sound that is generated as a result of an inflamed pericardium. Rubs consist of one to three sounds that may be mistaken for murmurs. However, the quality of the sound(s) is different an

Gout-Tophi

3 patients · 12 clips

Tophi are deposits of urate crystals in the joints and soft tissues. They are a manifestation of longstanding and poorly controlled gout. Patients with tophaceous gout can experience polyarticular attacks and symptoms be

Heliotrope Rash

1 patients · 3 clips

The heliotrope rash describes a lilac-colored change in the skin over the eyelids and around the eyes, sometimes with edema. Rheumatology Patient 1: This is a middle-aged man who presented with progressive weakness and w

Gottron’s Papules

2 patients · 2 clips

Gottron’s papules are violaceous and scaly papules over the dorsum of the metacarpophalangeal and interphalangeal joints. Rheumatology Patient 1: This is a middle-aged man who presented with progressive weakness and was

Leukocytoclastic Vasculitis

4 patients · 8 clips

Palpable purpura- Non-blanching erythema from bleeding into the skin seen in small vessel vasculitis. Rheumatology Patient 1: This patient is an old-aged man who was admitted with rash, abdominal pain and renal injury se

Malar Rash

1 patients · 2 clips

Patient 1 This is a young woman who was admitted with infectious supraglotitis secondary to *Hemophilus Influenzae*, type B, who subsequently developed acute pancreatitis that could not be explained. Physical examination

Psoriatic Arthritis

4 patients · 4 clips

Rheumatology Patient 1: This patient has Patient 2: This patient has Patient 3: This patient has Patient 2: This patient has

Oral Ulcers

1 patients · 2 clips

Rheumatology Patient 1: This is a young man who developed oligoarticular inflammatory arthritis, conjunctivitis, and recurrent fever following a diarrheal illness, and was ultimately diagnosed with reactive arthritis. Im

Rheumatoid Nodules

1 patients · 1 clips

Subcutaneous nodules are common in patients with rheumatoid arthritis, usually occurring over pressure points such as the elbows. Rheumatology Patient 1: This patient has rheumatoid arthritis and classic rheumatoid nodul

Poliosis

1 patients · 1 clips

Patient 1: This patients has dilated intra and extra-hepatic biliary ducts of unclear causes. Poliosis suggests an autoimmune cause.

Ruptured Baker’s Cyst

1 patients · 1 clips

Rheumatology Patient 1: This patient has

Psoriasis-Plaques

1 patients · 2 clips

Rheumatology Patient 1: This is a previously healthy young woman who presented with subacute atraumatic pain and swelling of her right knee and left foot. The right knee was erythematous and warm with an associated joint

Sclerodactyly

4 patients · 18 clips

Skin thickening and hardening,giving the skin a shiny appearance and leading to curling of the fingers with loss of mobility. Rheumatology Patient 1 This is a middle-aged man with systemic sclerosis. His hands show skin

Shawl sign

1 patients · 1 clips

The shawl sign is an erythematous rash over the shoulders and upper arms. Rheumatology Patient 1: This is a middle-aged man who presented with progressive weakness and was found to have dermatomyositis. This patient also

Swan neck deformity

1 patients · 2 clips

The swan neck deformity is characterized by hyperextension of the PIP joint with flexion of the DIP joint. Rheumatology Patient 1: This is an older patient with a longstanding history of rheumatoid arthritis who was eval

Synovitis

2 patients · 4 clips

Rheumatoid arthritis causes inflammatory arthritis, characterized by erythema, pain, and edema of the involved joint on examination. Rheumatology Patient 1: This is a young man who developed oligoarticular inflammatory a

V Sign

1 patients · 5 clips

The V sign is an erythematous rash over the neck and chest. Rheumatology Patient 1: This patient is a young man who presented with several months of progressive weakness and rash.

Eosinophilic Fasciitis

1 patients · 3 clips

Patient 1: This is a patient with eosinophilic fasciitis. One photo shows the classic “groove sign”, which is a depression that follows a superficial vein

Telangiectasia

1 patients · 1 clips

Patient 1: