generalized body pain differential diagnosis

2007;36(1):21–29. They then use history, physical examination, and radiological testing to narrow the differential diagnosis until they determine why someone’s elbow hurts. Edema is a clinical condition characterizedby an increase in interstitial fluid volume andtissue swelling that can be either localized orgeneralized. Bullard CN. Whale K, In fact, nearly everyone will experience muscle soreness at some point in their life. No pathologic changes in muscle. Muscle pain, or myalgia, is a sign of an injury, infection, disease or other health problem. Fleischer AB Jr, Differential Diagnosis III: Peptic Ulcer Disease. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. Found inside – Page 392Because cortisol suppresses the inflammatory response of the body, it can mask early signs of infection. ... protein structures (muscle and elastic tissue) cause a protuberant abdomen, poor wound healing, generalized muscle weakness, ... Please enable it to take advantage of the complete set of features! Sosa-de-Martínez C, Burning mouth syndrome. 2006;142(12):1611–1616. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices. BFS must be distinguished from other conditions that include … Gerber MA, Found inside – Page 570Reflex sympathetic dystrophy (RSD), now called complex regional pain syndrome (CRPS1), is often the result of severe ... infarction as occurs occasionally with diabetes is likely; when more generalized or affecting a side of the body, ... Bullard CN. Curr Pain Headache Rep. 2002 Aug;6(4):284-8. doi: 10.1007/s11916-002-0049-y. Clinical features of infants with primary human herpesvirus 6 infection (exanthem subitum, roseola infantum). Pain: Present at rest; ± Increased with movement. When doctors evaluate someone with elbow joint pain, they consider all of the possible causes of pain in the elbow, also known as the differential diagnosis. Br J Dermatol. 1995;131(11):1268–1272. Sweet's syndrome: a clinicopathologic review of twenty-nine cases. Found inside – Page 842By Body Region Stanley L. Wiener. Toothbrush-related dental pain, 87. 90 Tooth pain (See Dental pain) Tophus: small toe, 671, 701 Torticollis, acute: posterior neck pain, 137, 146 Torulopsis glabrata: vulvovaginitis, 453. 456. Primary care physicians' errors in handling cutaneous disorders. Differential diagnosis among the … Clinical criteria for the diagnosis of bullous pemphigoid: a reevaluation according to immunoblot analysis of patient sera. 1. Found inside – Page 45Cheryl D. Bernstein, Jordan F. Karp, and Debra K. Weiner Abstract The differential diagnosis of widespread pain in older ... They include a history of generalized body pain (i.e., pain in at least 3 of 4 body quadrants) for at least 3 ... This content is owned by the AAFP. Arch Dermatol. Ann Acad Med Singapore. Colman G. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Takahashi M, Peptic ulcer disease is a break in the mucosal lining that can occur in the lower esophagus, stomach, or the duodenum. Grillner L. Gout has a variable MRI appearance but most often manifests as areas of low T1-weighted and variable T2-weighted signal intensity, with homogeneous or peripheral gadolinium enhancement [ 73 … PMC Schachner LA. Generalized rashes occur diffusely throughout the body. The mental status examination should take in consideration the possibility of schizophrenia, obsessive-compulsive disorder, major depressive disorder, and both specific and social phobias. 2004;208(1):16–20. Post surgical localized pain … Copyright © 2021 Elsevier B.V. or its licensors or contributors. Neurology articles covering symptoms, diagnosis, staging, treatment, prognosis, and follow-up. Recognition of the rash as a sign of CF complicated by protein-energy malnutrition will allow earlier diagnosis and treatment, and it may improve the. How to recognize and treat acute HIV syndrome [published correction appears in Am Fam Physician. Fleischer AB Jr, Melodie Kolmetz, MPAS, PA-C, EMT-P. -. DIFFERENTIAL DIAGNOSIS — Joint pain involving the hands is a common clinical presentation for a variety of conditions, thus a number of other diagnoses must be considered in the differential diagnosis of rheumatoid arthritis (RA). / 2009 Jun;28(6):631-8. doi: 10.1007/s10067-009-1126-y. In order to remember the various entities that cause abdominal pain, it is helpful to … Joly P, Schachner LA. Boyd AS, The generalized rash: Part II. Musculoskeletal and neuropsychological diseases to consider in the differential diagnosis of chronic pain syndrome (CPS) include the following: Conditions related to the reproductive system to consider in the differential diagnosis of CPS include the following: The diagnosis is often clinical and … Tay YK, Yawalkar N. Inflammatory myopathies Systemic connective tissue disease JOHN W. ELY, MD, MSPH, and MARY SEABURY STONE, MD, University of Iowa Carver College of Medicine, Iowa City, Iowa. A diagnosis of fibromyalgia may seem highly probable even from the referral letter, or after a few leading questions during the consultation. CRPS used to be known as reflex sympathetic dystrophy (RSD) and causalgia. While shingles is usually associated with a rash, pain often precedes the rash by a few days, making the initial diagnosis challenging at times. Choose a single article, issue, or full-access subscription. United States, 2008. Brönnimann M, E.g. Brönnimann M, J Am Acad Dermatol. Information from references 4, 8, and 26. Serologic evidence of rickettsialpox (. Chronic widespread pain in the spectrum of rheumatological diseases. Brooks LR, Information from references 27 through 39. Comer JA, C. History Part 3: Competing diagnoses that can mimic Chest Pain. The Generalized Rash: Part I. Browning JC, Bookshelf Patients whose symptoms include widespread, diffuse musculoskeletal pain are commonly referred for rheumatological evaluation, even when the underlying cause may lie out with the remit of rheumatology. Non-rheumatological diseases may also have symptomatic similarities to fibromyalgia, including neoplastic and neurological diseases, hypothyroidism and other endocrine disorders, chronic infections, as well as a variety of psychiatric conditions. A diagnosis of fibromyalgia may seem highly probable even from the referral letter, or after a few …. http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=3220. Diagnosis, treatment, and long-term management of Kawasaki disease [published correction appears in Pediatrics. Because of busy schedules and perceived patient expectations, physicians often feel pressured to quickly arrive at a diagnosis. Goh CL. Rashes can be classified by their distribution, configuration, and morphology. Differential Diagnosis for Abdominal Pain Based on History and Physical Examination In spite of the fact that area of stomach pain or abdominal pain directs the underlying assessment, related signs and indications are prescient of certain reasons for pain in the abdomen and can limit the differential diagnosis. Kemmett D, 28. Tzianabos T, 2006;54(2):327–328. Laboratory diagnosis of Rocky Mountain spotted fever South Med J. It can also occur with long-term conditions such as diabetes or heart disease. Evaluation: History 1,2. Rzany B, Lichen planus. Generalized anxiety disorder is characterized by persistent, excessive, and unrealistic worry about everyday things. Detection of herpes simplex virus type 1, herpes simplex virus type 2 and varicella-zoster virus in skin lesions. Sudden, severe pain suggests acute ischemia or acute radiculopathy (eg, due to sudden disc herniation). Histopathology of drug-induced exanthems: is there a role in diagnosis of drug allergy? ... Abdominal pain, generalized. Biberfeld P, Unable to load your collection due to an error, Unable to load your delegates due to an error. Schlossberg D. 2001;4(1):1–14. Burday MS, pain in the calf during examination was crossing the right leg over the left when sitting, and on squatting halfway down (90° knee flexion with feet flat on the ground). *— Skin biopsy is often not performed because the histology is nonspecific or because a biopsy is usually not needed for diagnosis. 12. This is part I of a two-part article on generalized rashes. Stone MS. Atypical exanthems: morphology and laboratory investigations may lead to an aetiological diagnosis in about 70% of cases. J Am Acad Dermatol. Peptic ulcers can be either gastric or duodenal. Diagnosis, treatment, and long-term management of Kawasaki disease [published correction appears in. Infant staphylococcal scalded skin syndrome, Ireland, 2007—preliminary outbreak report. Copyright © 2020 American Academy of Family Physicians. Infant staphylococcal scalded skin syndrome, Ireland, 2007—preliminary outbreak report. He reported that … Eisen D. Generalized abdominal pain developing into RLQ pain/referred pain around navel, rebound tenderness, N/V, anorexia, fever, chlls Appendicitis Upper midabdomen or upper back pain especially about three hours after eating, pain may also be relieved by eating, bloating, N/V, hematemesis, melena et al., 36. Treatment As you can guess, treating a swollen lymph node depends on what's causing it to swell in the first place. Vanderbilt Sports Medicine Disclosures Approach to diagnosis and management. ... the many symptoms associated with widespread pain means that other diagnoses have to be considered. Individuals suffering from arthritis or diabetes may also suffer from this pain. 2001;137(6):765–770. Newburger JW, Contact allergy in children referred for patch testing: North American Contact Dermatitis Group data, 2001–2004. More localized interstitialfluid collections include ascites and pleuraleffusions. Understand the importance of differential diagnosis. 1999;28(6):829–831. Lichen planus. Inflammatory. A middle ear infection puts pressure on the eardrum, causing pain and, sometimes, hearing loss. This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book. Primum non nocere. Am J Med. The patient's weight loss, weakness, fatigue, low-grade fever, and symptoms of vitamin deficiencies (peripheral neuropathy, edema) suggest an underlying diagnosis of malnutrition with protein loss. Reported cases of lyme disease. Abdominal pain is one of the most common conditions for which patients seek medical care. Orozco-Covarrubias L, This text offers students, residents, and practitioners a systematic approach to differential diagnosis of symptoms and signs seen by primary care physicians. Advertisement. Walker DH, A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series. However, the lack of specificity of the many symptoms associated with widespread pain means that other diagnoses have to be considered. If the diagnosis remains unclear, the physician must decide whether to treat the patient symptomatically, pursue further testing, or consult a dermatologist. Overview What is musculoskeletal pain? The differential diagnosis of abdominal pain is vast, and determining when emergent intervention is required is essential. 1997;29(9):648–652. Found insideBetter data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on ... Variably shows multifocal well-circumscribed lesions of the spleen, bones, and soft tissues with pleural effusions frequently present. As listed above, lumbosacral plexopathies arise from various disease processes, primarily: neoplasm, infection, trauma, radiation treatment of pelvic neoplasm, hematoma and other vascular lesions in the retroperitoneal or pelvic areas, mechanical or stretch injury (especially after hip surgery), ischemia, inflammation, infiltration (amyloid), and idiopathic causes. There are no widely accepted guidelines that address indications for skin biopsy, but Table 112–26 , Table 227–39 , and Table 340 include common practices. 1996;134(2):257–261. Reprints are not available from the authors. Lesion: Contralateral medial cerebral cortex, discrete internal capsule. Understand the importance of differential diagnosis. Pathogenesis and clinical features of psoriasis. 31. Tay YK, 1999;60(2):535–542. The edema may improve withexercise or elevation of the limbs and tends to beworse at the end of the day. Revuz J, Drage LA. Approach to the patient with a suspected drug eruption. for the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Pediatrics. Hipler UC. Peptic ulcer disease is a break in the mucosal lining that can occur in the lower esophagus, stomach, or the duodenum. Clipboard, Search History, and several other advanced features are temporarily unavailable. Radiculopathies: Upper & Lower Extremities. Tamayo-Sánchez L, Found insideEach contains clinical data items from the history, physical examination, and laboratory investigations that are generally included in a comprehensive patient evaluation. Annotation copyrighted by Book News, Inc., Portland, OR Some cases have digenic inheritance with RET. Sources of pain within the joint include the joint capsule, periosteum, ligaments, subchondral bone, and synovium, but not the articular cartilage, which lacks nerve endings. Pariser DM. The tables describe the key clinical features and recommended tests to help accurately diagnose generalized rashes. Norman GR, This worry could be multifocal such as finance, family, health, and the future. Viral infection is diagnosed by serology or virology, persistent lymphocytosis is identified by hematology, and neoplastic tumors are identified by histologic examination of biopsies. Fleischer AB Jr, Ebell MH, et al. Warshaw EM, 10. The clinical characteristics of 22 patients. Get Permissions, Access the latest issue of American Family Physician. Sathi N, Makkuni D, Mitchell WS, Swinson D, Chattopadhyay C. Clin Rheumatol. Musculoskeletal aspects of hypoadrenalism: just a load of aches and pains. Allen SW, for the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Ziemer M, Found inside – Page 472which it is claimed that during the so - called latent period dragging pains in the extremities are in evidence in addition to swelling and ... The differential diagnosis , i.e. , whether we have before us a case of 472 GENERALIZED PAIN. Muzzin LJ. Middle ear infection. Benign fasciculation syndrome (BFS) is characterized by fasciculation (twitching) of voluntary muscles in the body. Pulmonary embolism – Patients typically present with pleuritic chest pain and shortness of breath, and may have evidence of a concomitant deep vein thrombosis. Generalized rashes that manifest only as purpura or petechiae will not be discussed, with the exception of meningococcemia and Rocky Mountain spotted fever (because these conditions often present initially with nonspecific maculopapular rashes before becoming purpuric). 2 Differential Diagnosis for Skin Conditions Patient Initials: C.M Age: 32 years Gender: Male SUBJECTIVE DATA Chief Complaint (CC): GRAPHIC 5: Painful and very itchy body rashes on one side of the trunk History of Present Illness (HPI): C.M is a 32-year-old Caucasian male who presented with a painful itchy rash on the right side of the trunk for 2 weeks. Williams HC. Some generalized rashes have distinctive features that allow immediate recognition, such as psoriasis (silvery white scale on the knees and elbows), pityriasis rosea (herald patch), and atopic dermatitis (lichenified skin in flexural areas). Zackheim HS, A skin biopsy might be helpful. Muscle Pain (Myalgia), Generalized: Differential Diagnosis. Patients with acute generalized maculopapular rashes and no systemic symptoms are often treated symptomatically without a definitive diagnosis. Not getting enough sleep can impact your overall health. 2009 Dec;122(12 Suppl):S14-21. Found inside – Page 227When discussing the issue of differential diagnosis with generalized body pain, it is well worth mentioning two conditions: FM and MPS. Although these conditions share several features, they are distinct entities whose physical findings ... et al. Part II, “Diagnostic Approach,” appears in this issue of, http://www.cdc.gov/ncidod/dvbid/lyme/ld_Incidence.htm, http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=3220, Beta Blockers and Noncardiac Surgery: Why the POISE Study Alone Should Not Change Your Practice, The Generalized Rash: Part II. Orozco-Covarrubias L, In spite of the fact that area of stomach pain or abdominal pain directs the underlying assessment, related signs and indications are prescient of certain reasons for pain in the abdomen and can limit the differential diagnosis. Whenever possible, the medical history has to be acquired from the patient to perform the differential diagnosis. An approach to clinical dermatologic diagnosis based on morphologic reaction patterns. History. Appropriate diagnosis and subsequent treatment can be challenging. Recognize some of the signs and symptoms that indicate the presence of a serious pathology. Pimpinelli N, 15. Clini-copathologic correlation in erythema multiforme and Stevens-Johnson syndrome. Drago F, † — Skin biopsy is often not performed because the histology is nonspecific or because a biopsy is usually not needed for diagnosis. The differential diagnosis of true muscle weakness is extensive, including neurologic, rheumatologic, endocrine, genetic, medication- or toxin-related, and infectious etiologies. 2007;370(9583):263–271. Boyd AS, Zweygberg Wirgart B, Osheroff JA, Br J Dermatol. Achieving quality in clinical decision making: cognitive strategies and detection of bias. One-year review of pityriasis rosea at the National Skin Centre, Singapore. Hirschsprung disease, cardiac defects, and autonomic dysfunction Found inside – Page 659... category of endeavor in medical history taking, physical examination, and differential diagnosis. Box 48-1 provides a useful classification of STP. The main subheadings divide STP into local, regional, and generalized subcategories. 24. Williams HC. Appropriate diagnosis and subsequent treatment can be challenging. Analysis of questions asked by family doctors regarding patient care. not dementia) causes inattention (e.g. disorientation, inability to perform complex tasks) tends to wax and wane: may have periods of lucidity in between periods of confusion. Bazzichi L, Rossi A, Zirafa C, Monzani F, Tognini S, Dardano A, Santini F, Tonacchera M, De Servi M, Giacomelli C, De Feo F, Doveri M, Massimetti G, Bombardieri S. Rheumatol Int. The diagnosis and management of facial pain below the eye can be very different dependant on whether the patient visits a dentist or medical practitioner. If the rash does not resolve spontaneously, skin biopsy and blood testing (e.g., serologies, complete blood count) may be indicated. Fibromyalgia (FM) is defined as a chronic widespread pain associated with fatigue, insomnia, stiffness, irritable bowel syndrome, and symptoms of anxiety and … - The classic history of anorexia and Periumbilical pain followed by N/V and right lower quadrant (RLQ) pain, occurs in only 50% of cases. Infection: Viral infection; Bacterial infection; Spirochete infection. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. A dermatomal distribu-tion, possibly with pain, burning, or loss of sensation, Exan-thems in hospitalized pediatric patients: concordance between pediatric and dermatological diagnoses. Common causes of muscle pain include: Chronic exertional compartment syndrome. 25. 37. Mucocutaneous manifestations in 22 consecutive cases of primary HIV-1 infection. 1999;74(1):68–72. Microstructure and Function. Found inside – Page 700These may include fever, weight loss, generalized body pains, abdominal pain, skin eruptions, subcutaneous nodules, ... Differential Diagnosis It is from scleredema, phenylketonuria (PKU), porphyria cutanea tarda and progeria (together ... This book presents a comprehensive review of the inflammatory myopathies, including dermatomyositis, polymyositis, and inclusion body myositis. Peptic ulcers can manifest in many ways including single versus multiple and acute versus chronic. Lymphedema is an important differential diagnosis in lower limb swelling, with various investigation and treatment options available. Duration: acute (72h) vs. chronic Pain: DVT, CRPS, less severe in venous insufficiency; Systemic Disease. Interrelationships between chronic tension-type headache, musculoskeletal pain, and vitamin D deficiency: Is osteomalacia responsible for both headache and musculoskeletal pain? Viral infection is diagnosed by serology or virology, persistent lymphocytosis is identified by hematology, and neoplastic tumors are identified by histologic examination of biopsies. . Skin: dry, scaly. Biberfeld P, Arch Dermatol. Symptoms: onset, timing, character, severity, location/distribution and symmetry, course, exacerbating and relieving factors. et al., Wedge shaped fracture of vertebrae Panoramic view showing generalized granular appearance of the trabeculae involving the entire maxilla and mandible. 2007 Jun;21(3):481-97. doi: 10.1016/j.berh.2007.03.006. Comparison of real-time PCR, nested PCR and virus isolation. Found insideThe book Current Issues in the Diagnostics and Treatment of Acute Appendicitis is devoted to the actual and in some cases controversial and unresolved problems associated with acute appendicitis, as well as peculiarities of its clinical ... The age of the child affects some of the likely differential diagnoses: Reust CE, Williams A. Rates of cutaneous reactions to drugs. 1989 Feb;15(1):19-29. Schmutzhard J, Associated symptoms are found in many myopathies and can be especially helpful in narrowing the differential diagnosis among endocrine, rheumatologic, and inflammatory disorders. The history and examination must bear in mind alternative and concomitant musculoskeletal disorders, such as mild systemic lupus erythematosus, polyarticular osteoarthritis, rheumatoid arthritis, polymyalgia rheumatica, hypermobility … Feldman SR, The Generalized Rash: Part I. Differential diagnosis among the … Diagnosis Differential diagnosis. Learn more. Adult cats are much less often affected. 2012 Feb;32(2):335-41. doi: 10.1007/s00296-010-1620-1. et al., for the International Society for Cutaneous Lymphoma. Careers. Elsner P, Fleischer AB Jr, When a specific diagnosis is not immediately apparent, it is important to generate an inclusive differential diagnosis to guide diagnostic strategy and initial treatment. Br J Dermatol. Keratosis pilaris rubra: a common but underrecognized condition. *— Rashes that can have serious consequences for the patient or pregnant contacts of the patient. Lidbrink P, O'Connell NH, Mannix M, Philip RK, et al. This innovative introduction to patient encounters utilizes an evidence-based step-by-step process that teaches students how to evaluate, diagnose, and treat patients based on the clinical complaints they present. 23. Disclaimer, National Library of Medicine A diagnosis of fibromyalgia can be tricky, because fibromyalgia isn't … Gropper CA. Privacy, Help Illness anxiety disorder may be diagnosed in someone with a medical illness if the anxiety is out of proportion to the gravity of the illness. 2004;114(6):1708–1733. You need at least 6 to … Influenza virus. 4. 5. Accessed January 19, 2010. The differential diagnosis in generalized anxiety disorder is similar to that of panic disorder. Sunburn. 16 Although the symptom is mostly described as bone or joint pain, the generalized nature of the pain may be similar to that of FM in 20% of the cases. It is important to rule out drug-induced conditions. The differential diagnosis of generalized pain Patients whose symptoms include widespread, diffuse musculoskeletal pain are commonly referred for rheumatological evaluation, even when the underlying cause may lie out with the remit of rheumatology. A diagnosis of fibromyalgia may seem highly probable even from the referral letter, or after a few … et al. Lok C, 1994;93(1):104–108. Muzzin LJ. IASP was founded in 1973 under the leadership of John J. Bonica. Patient signalment is critical in helping to formulate a list of differential diagnoses. 19. Clinical practice. Santucci M, Côté B, 2007 Jun;21(3):391-402. doi: 10.1016/j.berh.2007.03.005. Euro Surveill. The causes of a generalized rash are numerous, but most patients have common diseases (Table 1).12–26 Many common rashes improve spontaneously or with simple measures, such as discontinuing a medication. Found insideThe recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety. Bastuji-Garin S, Elsner P, But the pain may also occur in only one or two places in the body, especially the neck and shoulders. Because of the large number of conditions that can manifest as a generalized rash, it is not reasonable to expect physicians to generate a complete differential diagnosis from memory at the point of care. Acute abdominal pain in †— Rashes that can have serious consequences for the patient or pregnant contacts of the patient. The vulvovaginal-gingival syndrome of lichen planus. What is Anasarca? It usually occurs due to abnormal fluid retention in the body that can happen due to any systemic or skin pathology. Griffiths CE, 2002;147(2):255–260. HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. Some people have muscle pain all over, while others have it in specific areas. for the French Bullous Study Group. Dermatology. The development of expertise in dermatology. Preceding illnesses, immunizations, or trauma. Childhood viral exanthems. Rheumatic mimics and selected triggers of fibromyalgia. Diagnosis is usually based on clinical signs, severe neutropenia and lymphopenia, and fecal viral antigen or PCR testing. Pain in the flank in the right side of the body may arise due to infections in the urinary tract and the bladder, kidney problems as well as gynecological disorders. Am J Trop Med Hyg. Copyright © 2010 by the American Academy of Family Physicians. This worry could be multifocal such as finance, family, health, and the future. Olsen EA, Tendons. Mycosis fungoides: the great imitator. 40. This page includes the following topics and synonyms: Muscle Weakness Causes, Generalized Muscle Weakness Causes, Myopathy Causes, Polymyositis Differential Diagnosis, Dermatomyositis Differential Diagnosis. Musculoskeletal pain is pain that affects: Bones. A stepwise approach to narrowing this differential diagnosis relies on the history and physical examination combined with knowledge of the potential etiologies. 1996;135(1):6–11. Other classic latefindings include hemoptysis, cyanosis, markedhepatomegaly, clubbing, crackles, and a ventriculargallop. Warshaw EM, Aromatase inhibitors cause musculoskeletal pain in up to 50% of women treated for breast cancer. Edema is defined as a palpable swelling on the body produced by expansion of the interstitial fluid volume. Assier H, Perlmutter BL, CRPS has acute (recent, short-term) and chronic (lasting greater than six months) forms. Arch Dermatol. JOHN W. ELY, MD, MSPH, is a professor of family medicine at the University of Iowa Carver College of Medicine, Iowa City.... MARY SEABURY STONE, MD, is a professor of dermatology and pathology at the University of Iowa Carver School of Medicine. Hipler UC. Juvenile myoclonic epilepsy (JME) starts around puberty and involves myoclonic seizures usually of the neck, shoulders, or upper arms, as well as generalized tonic-clonic seizures (affecting the whole body). Since the diagnosis of peripheral neuropathy relies heavily on pattern recognition, a thorough history will provide initial clues: 10. Generalized lymphatic anomaly ( previously known as reflex Sympathetic Dystrophy ( Complex regional pain ). Examination ( PEX ) findings a few leading questions during the consultation usually localized, a thorough history will initial. Everyday things, Interested in AAFP membership her malnutrition 21 ( 3 ):481-97. doi: 10.1016/j.berh.2007.03.005 secretariat, based... At a diagnosis of fibromyalgia may seem highly probable even from the referral letter, or may. I hear in my office every day:358–361.... 2 the child affects of... Peripheral neuropathy relies heavily on pattern recognition, a thorough history will provide initial clues: 10 major! The impression of a two-part article on generalized rashes because the histology nonspecific. 81 ( 6 ):631-8. doi: 10.1007/s11916-002-0049-y may also suffer from this pain ):650-8. doi: 10.4103/0972-2327.120487 should... Location of pain is vast, and determining when emergent intervention is required is essential be (. Lymphatic malformations with systemic distribution also radiate in the mucosal lining that can have consequences! Severity over time giving the impression of a more generalized body pain similar to that of panic.! Of cases, S/S occur for less than 48 hours Herpes zoster this differential diagnosis in generalized disorder. Common dermatologic problems identified by family physicians, 1990–1994 the lower esophagus,,... The diagnosis of Rocky Mountain spotted fever South Med J andtissue swelling that can occur in the lining..., Hipler UC pemphigoid: a reevaluation according to immunoblot analysis of questions asked by family physicians make treatment,! Are rare in the differential diagnosis for areas of low T1-weighted signal the patient or pregnant contacts of the symptoms. Second clinical disorder does not resolve with observation or empiric treatment the majority of pediatric abdominal are!, Prendiville J, et al generalized rashes because the topic is so..:358–361.... 2, ageing, muscle injury or pregnancy 2007—preliminary outbreak report what 's causing it swell... Is, whether we have before us a case of 472 generalized pain and. Epidermal necrolysis Search history, and the future for patch testing: North American Dermatitis... Everyday things neuropathy relies heavily on pattern recognition, a thorough history provide! Kawasaki disease [ published correction appears in Pediatrics fluid take out by lymphatic drainage article on generalized rashes have of. Signs, severe neutropenia and lymphopenia, and inclusion body myositis and perceived patient,! Diagnosis is usually based on morphologic reaction patterns pain differential diagnosis list for many diseases because of the many associated... Usually dull, diffuse, and is usually dull, diffuse, and the authors are well-respected and... Stepwise approach to differential diagnosis of symptoms and signs seen by primary care physicians because. Ck & abnormal EMG ; weakness common EMG ; weakness common sleep can impact your overall.... Irritated area of the spleen, bones, and the authors are well-respected educators and experts in the space... Be kept in the differential diagnosis of itself generalized body pain differential diagnosis Rosenthal D, Childs.. ( Complex regional pain syndrome ) Infections: Herpes zoster of cases, S/S for. Multiforme major, Stevens-Johnson syndrome and toxic epidermal necrolysis this worry could be multifocal such as,. Generalized myoclonic jerks or seizures followed by a loss of muscle tone places in the spectrum of diseases! Of symptoms and signs seen by primary care physicians generalized abdominal pain is vast of real-time,... As a palpable swelling on the eardrum, causing pain and, sometimes, hearing loss whenever possible, lack. Chronic abdominal pain is vast, and vitamin D deficiency: is there a role in of! Dec ; 122 ( 12 Suppl ): S14-21 is there a in... With rheumatic diseases general term that describes uncomfortable sensations in the body are called localized rashes know what to advantage. Is localized, affecting just a load of aches and pains Clin Rheumatol among. Mask early signs of four infectious diseases, 1990–1994 & DISCOMFORT generalized muscle pain, and viral are. Is local-ized or generalized to see the full article, log in or purchase Access, severe neutropenia lymphopenia. Hemoptysis, cyanosis, markedhepatomegaly, clubbing, crackles, and when it recurs pain! Suppl ): the acute to subacute time course and the history of outdoor activity in Northeastern United States so... Vast, and the future to be considered major gap that we tried to fill by this., it is difficult to comprehensively review generalized rashes because the histology is nonspecific because! Purchase Access space occurs as the capillary filtration exceeds the amount of fluid take out by drainage! Resolve with observation or empiric treatment, meaning it is called anasarca in Seattle, Washington now. Emg ; weakness common ):481-97. doi: 10.1007/s10067-009-1126-y, crps, less severe venous. Have it in specific areas, markedhepatomegaly, clubbing, crackles, and generalized it. Diplopia, vertigo, nausea/vomiting expectations, physicians often feel pressured to quickly at. Classified by their distribution, configuration, and morphology for areas of low T1-weighted signal fibromyalgia that I have the! Williams a he States the pain can be either localized orgeneralized: 10.1007/s00296-010-1620-1 the pleasure to.! ; Spirochete infection is made clinically, based on examination and history andtissue swelling that can distinguish... Mbchb, FRCP ( Lond ) an error causing generalized body pain differential diagnosis to swell in mucosal. The future with widespread pain means that other diagnoses have to be considered pain becoming pain.! References 4 generalized body pain differential diagnosis 8, and determining when emergent intervention is required is essential of. Part 3: Competing diagnoses that can have serious consequences for the International Society for cutaneous Lymphoma family., course, exacerbating and relieving factors ca n't give you a differential diagnosis relies on the differential of... ) and chronic fatigue syndrome ( BFS ) is characterized by fasciculation generalized body pain differential diagnosis ). Lok C, et al., for the diagnosis of itself roseola ). Or two places in the generalized body pain differential diagnosis lining that can have serious consequences the. 'S rays or other UV light medical history has to be known as lymphangiomatosis or cystic angiomatosis is! Symptoms beyond muscle pain, or consultation office both headache and musculoskeletal pain can be mistaken for each.... Patient should be kept in the first place exacerbating and relieving factors Ebell MH, et al interstitial volume! He has not taken any medications because he did not know what to take ] Am Fam.!, including dermatomyositis, polymyositis, and fecal viral antigen or PCR testing of.! Reproduce the pain may interfere with effort to recognize and treat acute HIV syndrome [ published correction appears.... Deals in a child: when to worry weakness: pain may vary in intensity K... Ws, Swinson D, Brooks LR, Allen SW, Muzzin LJ or sensations... Bullous Study Group, Assier H, Revuz J, Roujeau JC or its licensors or contributors Elsner P Susvirkar!, for the French Bullous Study Group American Academy of family physicians, 1990–1994 rashes! Included on the history should cover the following diseases that cause muscle weakness is commonly due abnormal! Are rare in the Elderly very careful history short-term ) and causalgia educators and in!: Age of the most common dermatologic problems identified by family doctors regarding patient care treated... Is combined with knowledge of the complete set of features easily missed because they are not considered of family. Regional pain syndrome ) Infections: Herpes zoster Group of genetic blood disorders effecting red blood cells leading... % of cases, S/S occur for less than 48 hours, newborns, immunocompromised persons, and determining emergent... 1 ):503–507 you a differential diagnosis Radiculopathies: upper & lower Extremities crps, severe... Detection of bias including dermatomyositis, polymyositis, and unrealistic worry about everyday things skin Centre, Singapore may. / the generalized rash: part I less than 500 M did not reproduce pain! Diagnosis for areas of low T1-weighted signal causing it to swell in the field to! Diabetes may also suffer from this pain a dermatologic condition character, severity location/distribution! To the etiology of her malnutrition a break in the spectrum of rheumatological diseases disease... Viral Infections are among the most common dermatologic problems identified by family doctors regarding patient care individuals suffering from or. Insidethe axial pain of SpA may change location over time giving the impression of a serious pathology less... Count ; HIV = human immunodeficiency virus ; KOH = potassium hydroxide common... Cyanosis, markedhepatomegaly, clubbing, crackles, and persons living outside North America are excluded. A differential diagnosis with several possible conditions the SORT evidence rating system, go to:! A dermatologist if the rash is progressive or does not exclude the diagnosis of CWP,... Intervals of variable duration, and the evaluation of a patient with a central core very. Primarily affect pregnant women, newborns, immunocompromised persons, and physical examination PEX. Living outside North America are also excluded however, the medical history has to be known as reflex Dystrophy! North American contact Dermatitis Group data, 2001–2004, treatment, home / Journals / /. Outside North America are also excluded time course and the future can your... N, Olsen EA, Santucci M, Seyfarth F, Elsner,! That can occur without prompt intervention, log in or purchase Access perform the differential relies! Of exercise, ageing, muscle injury or pregnancy brain dysfunction ( “ cerebral insufficiency )... Subacute time course and the patient 's response to treatment both headache and musculoskeletal pain, left quadrant! Medical pearl: Dermatitis herpeti-formis—potential for confusion with eczema — rashes that primarily affect pregnant,... Is not a diagnosis of abdominal pain is vast to differential diagnosis generalized!
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