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DDxPro
Possible Diagnoses
Polyarteritis nodosa
Polyarteritis nodosa
Myalgia
Hairy cell leukemia
Hepatitis b virus
Hepatitis c virus
Asymmetric polyneuropathy
Peroneal mononeuropathy multiplex
Radial mononeuropathy multiplex
Ulnar mononeuropathy multiplex
Weight loss
Abdominal pain after eating
Abdominal pain after meals
Bullous
Continuous abdominal pain
Intermittent abdominal pain
Livedo reticularis
Palpable purpuric lesions
Tender erythematous nodules
Tender purpura
Ulcer
Vesicular eruption
Systemic lupus erythematosus
Systemic lupus erythematosus
Arthralgia
Myalgia
Fatigue
Fever
Arthritis
Arthritis in hands
Arthritis in knees
Arthritis in wrists
Intermittent arthritis
Migratory arthritis
Nonerosive arthritis
Polyarticular arthritis
Symmetrical arthritis
Tenderness in joints
Tenderness in tendons
Anorexia
Malaise
Weight loss
Photosensitivity
Malar rash
Hepatic encephalopathy
Hepatic encephalopathy
Bradycardia
Cerebral edema
Cough response to tracheobronchial suctioning
Increased intracranial pressure
Paralysis of corneal reflex
Paralysis of jaw reflex
Paralysis of oculocephalic reflex
Paralysis of other brain stem reflexes
Pupillary changes
Respiratory depression
Seizures
Systemic hypertension
Positive earlier stroop color word test
Positive portosystemic encephalopathy syndrome test
Hyperresponsive pupils
Pupils progress from normal response
Slowly responsive pupils
Amnesia
Anxiety
Apathy
Sarcoidosis
Sarcoidosis
Lung involvement
Fatigue
Asymptomatic bilateral hilar adenopathy
Lofgren syndrome
Eye lesions
Joint lesions
Skin lesions
Diffuse interstitial lung disease
Cough
Dyspnea
Dry eyes
Migratory polyarthralgia
Painful nodules on the anterior surface of the lower extremities
Palpitations
Fever
Weight loss
Chest pain
Malaise
Erythema nodosum
Heerfordt syndrome
Henoch-schonlein purpura
Henoch-schonlein purpura
Arthralgias
Palpable purpura
Purpura over the buttocks
Purpura with lower limb predominance
Acute abdominal pain
Colicky pain
Diffused abdominal pain
Arthralgia
Limited joint range of motion
Migratory arthritis
Non deforming arthritis
Oligoarticular
Polyarthralgia
Transient arthritis
Glomerulonephritis
Erythematous rash
Macular rash
Symmetrical rash
Urticaria
Abdominal pain
Hemochromatosis
Hereditary hemochromatosis
Hepatomegaly
Lethargy
Weakness
Skin hyperpigmentation
Arthropathy
Diabetes mellitus
Hepatocellular carcinoma
Cirrhosis
Diffuse skin pigmentation
Generalized skin pigmentation
Gynecomastia
Loss of body hair
Spider angiomas
Testicular atrophy
Extreme fatigue
Arthralgia
Acute knee synovitis
Hypothyroidism
Knees arthritis
Chondrocalcinosis
Hepatitis
Chronic hepatitis
Fatigue
Develop to cirrhosis
Erythematous rash
Arthralgia
Myalgia
Nausea
Glomerulonephritis
Polyarteritis nodosa
Type ii mixed cryoglobulinemia
Associated with hepatocellular carcinoma
Continue for at least 6 months
Lead ultimately to cirrhosis
Mucocutaneous vasculitis on lower extremities
Palpable purpura on lower extremities
Arthritis
Lack of complete resolution of clinical symptoms
Nephrotic syndrome
Renal manifestations
Anorexia
Weakness
Fibromyalgia
Fibromyalgia
Difficulty falling asleep
Difficulty getting back to sleep
Difficulty staying asleep
Light sleep
Low sleep efficiency
Low sleep quality
Nonrestorative sleep
Poor sleep
Waking in the early morning
Fatigue
Mid-afternoon fatigue
Morning fatigue
Bilateral musculoskeletal pain
Joint pain
Muscle pain
Musculoskeletal pain
Widespread musculoskeletal pain
Cognitive dysfunction
Chronic headache
Depression
Rocky mountain spotted fever
Rocky mountain spotted fever
Fever
Blanching erythematous rash
Maculopapular rash
Skin rash
Headache
Nausea
Vomiting
Rash on the palms
Tick bite
Anorexia
Early summer
Malaise
Myalgia
Severe headache
Triad of fever rash and tick exposure
Petechiae
Triad of fever rash and headache
Petechia not disappear upon compression
Petechial rash
Maculopapular rash on the ankles
Hepatocellular carcinoma
Hepatocellular carcinoma
Cirrhosis
Splenomegaly
Jaundice
Abdominal pain
Weight loss
Cachexia
Early satiety
Right upper quadrant pain
Bruit heard over liver
Hepatomegaly
Bone pain
Diarrhea
Obstructive jaundice
Paraneoplastic syndromes
Ascites
Dyspepsia
Friction rub
Abdominal mass
Deterioration of liver function
Mild upper abdominal pain
Ischemic optic neuropathy
Ischemic optic neuropathy
Acute loss of vision
Hyperemic optic disc edema
Transient prodromal diplopia
Transient prodromal vision loss
Inferior altitudinal defect
Visual field defect
Headache
Jaw pain on chewing
Muscle aches
Muscle pains
Polymyalgia rheumatica
Proximal arthralgias
Proximal myalgias
Pulseless superficial temporal arteries
Swollen tender superficial temporal arteries
Tender superficial temporal arteries
Unilateral
Severe visual loss
Complete blindness
Diabetes
Brucellosis
Brucellosis
Lethargy
Sweating
Weight loss
Arthralgia
Chills
Fever
Acute febrile illness
Night sweats
Joint swelling
Joint tenderness
Arthlargia
Arthlargia of hips
Arthlargia of knees
Arthlargia of spine
Malaise
Joint bursitis
Intermittent back pain
Pallor
Conjuctival contact with infected brucella material
Inhalation of infected aerosols
Obesity
History (rate of weight gain, dietary history, caloric expenditure, prescribed diet for successful weight loss...)
BMI and waist circumference
Management
BMI < 25
Counsel regarding diet/exercise to ideal BMI (23)
BMI < 30
BMI 30–35
Lipids (fasting) Glucose (fasting) Blood pressure control Make a dietary plan and follow-up, if...
BMI 35–40
BMI > 40
Try all modalities If unsuccessful, consider bariatric surgery
Thyroid stimulating hormone AM/PM cortisol Ultrasound for polycystic ovaries
Hypertension
Blood pressure (average of two readings at two separate times)
SBP 120–139 mmHg or DBP 80–89 mmHg
Prehypertension
Encourage lifestyle modifications, monitor closely
SBP >140 mmHg or DBP >90 mmHg
H/PE, lab tests, ECG
Lifestyle modifications: low-salt diet, weight loss, exercise
At target BP? <140/90 or 130/80 for diabetes mellitus, chronic kidney disease
Yes
Continue lifestyle modifications
No
Compelling indication
Treatment based on indication (see Table 1
No compelling indication
Stage 1: 140–159/80–89 Single-drug therapy with thiazide diuretic or ACE inhibitor
If not at target BP, add different class of drug based on side effect profile and/or indication
Stage 2: SBP >160 or DBP >90 two-drug combination
If not at target BP, add different class of drug based on side effect profile and/or indication
SBP >180 mmHg or DBP >120 mmHg
New onset or end- organ damage?
No
Treat with oral agents, Follow closely
Yes
Hypertensive crisis