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some conditions more likely to affect women over men? pg51
costochondritis, breast cancer, gallstones, gynae, primary biliary cirrhosis, rheumatic fever (girls), thyroiditis
s+s menopause pg 54
fatigue+malaise
depression/mood swings
difficulty concentrating
H/A
insomnia
hot flashes
irreg/cessation menses
vag dryness/pain coitus
atrophy breasts/vag
pelvic floor relaxation (rectocele/cystocele)
urge incontinence
eating disorders - pg57 - not inc
not inc
s+s alcohol withdrawal pg62 not inc
not inc
s+s domestic violence pg82 not inc
not inc
nsaid complications pg88 not inc
not inc
anabolic steroid use pg 92 not inc
not inc
rhabdomyolysis s+s pg 134
profound mm weakness
pain
swelling
stiffness + cramping
red-brown urine
decr urine output
malaise
fever
sinus tachycardia
nausea, vomiting
agitation, confusion
list systemic causes of joint pain pg 136
•allergic reactions (e.g. antibiotics)
•side fx of other medications - e.g. statins,
•prolonged corticosteroid use
•delayed reaction to chemicals/enviro factors
•STI's
•infectious arthritis
•infective endocarditis
•recent dental surgery
•lyme disease
•RA
•autoimmune disorder e.g SLE, mixed connective tissue disease, scleroderma, polymyositis
•leukemia
•TB
•acute rheumatic fever
•chronic liver disease (hepatic osteodystrophy fx wrists+ankles, hepatitis causing arthralgias)
•Infl bowel disease e.g. crohns or regional enteritis
•depression
•fibromyalgia
•artificial sweeteners!! WTF
features bacterial endocarditis pgs679+833
•pain inc LBP
*may be unilat
*may decr ROM
*may paraspinal tenderness
**CAN RESEMBLE HERNIATED DISC ie. rad into leg + valsalva +ive, raising leg
......KEY DIFF is NEUROLOGIC DEFICITS USUALLY ABSENT IN B endocard

gen prox joints affected - shoulder most common - SIGN = warmth, tenderness, redness
SIGN = morning stiffness NOT present (DD RA + polymyalgia rheu)

risk factors:
•older pt + prev diagnosed heart murmur or prosthetic valve
•injection drug use
•prev cardiac surgery
•recent dental work
•recent invasive diagnostic procedure eg catheter