DR MADEEHA TAJ.

MBBS.PGcert in Public Health(U.K).

Health promotion, Leadership and Research, Health Policy Management,
Disease Control and Prevention, Forever Business Owner.

[Aravind Palraj @Rheumat_Aravind]

Not all joint pain is simple.

Red flags that should make you think beyond routine musculoskeletal pain include:
persistent inflammatory symptoms, fever or weight loss, skin or mucosal clues, red eye, neurological deficits, organ involvement, and especially a hot swollen joint.

A hot swollen joint is a medical emergency until septic arthritis is excluded.

Red flags in joint pain = look beyond the joint.

Dr. Aravind Palraj

#Rheumatology #JointPain #MedicalEducation #ClinicalPearls #AutoimmuneDisease @IhabFathiSulima

[... not a word! @xAWord4U]

The Becoming!

[Aravind Palraj @Rheumat_Aravind]

RED FLAGS FOR VASCULITIS

When should you suspect systemic vasculitis?

Not every patient presents with classic palpable purpura. Vasculitis can involve virtually any organ system, and delayed recognition may lead to irreversible organ damage.

Important clues include:
• Mononeuritis multiplex
• Pulmonary–renal syndrome
• Digital ischemia
• Adult-onset asthma with eosinophilia
• ENT disease with hematuria
• Testicular pain without infection
• Multi-system inflammation

The key is to recognize patterns early and investigate appropriately.

Remember:

Missing vasculitis can cost organs.
Missing infection can cost lives.

Always exclude infection before initiating immunosuppressive therapy.

Infographic by Dr. Aravind Palraj

#Rheumatology #Vasculitis #ANCA #MedicalEducation #MedEd #FOAMed #ClinicalReasoning #InternalMedicine #Nephrology #Pulmonology #Neurology #Dermatology #MedTwitter #RheumTwitter #MedX @IhabFathiSulima @docakx

[Rafael Sirera @ProfSirera]

ESR tells you that inflammation has left a slow systemic footprint.
CRP tells you that the liver is actively responding to cytokines
Procalcitonin tells you that the inflammatory programme may be bacterial or septic in nature.
They are not interchangeable clocks.
They are different biological readouts.

[Aravind Palraj @Rheumat_Aravind]

FEVER + RASH + ARTHRITIS

One of the most important diagnostic patterns in medicine.

When these three features occur together, the differential diagnosis extends far beyond rheumatology and includes infection, systemic inflammatory disease, autoimmunity, and post-infectious syndromes.

Key diagnoses you should never miss:
• Adult-onset Still disease / Systemic JIA
• SLE
• Reactive arthritis
• Viral arthritis
• Disseminated gonococcal infection
• Behçet disease
• Infective endocarditis
• Acute rheumatic fever

Before ordering a large autoimmune panel, ask yourself:

Which diagnosis would I regret missing today?

What would be your first differential when faced with a patient presenting with fever, rash, and arthritis?

Infographic by Dr. Aravind Palraj

#Rheumatology #InternalMedicine #MedicalEducation #MedEd #FOAMed #ClinicalReasoning #DifferentialDiagnosis #AutoimmuneDisease #MedTwitter #RheumTwitter #InfectiousDiseases #MedX #MedicalStudents #Residency #Medicine @IhabFathiSulima @docakx

[... not a word! @xAWord4U]

That #change starts with YOU!

[... not a word! @xAWord4U]

.

[Aravind Palraj @Rheumat_Aravind]

VASCULITIS MIMICS

Not every purpura is vasculitis.

Before labeling a patient as having primary vasculitis and initiating immunosuppression, consider important mimics such as infective endocarditis, cholesterol embolization syndrome, antiphospholipid syndrome, thrombotic microangiopathy, calciphylaxis, atrial myxoma, fibromuscular dysplasia, levamisole-associated vasculopathy, septic emboli, and malignancy-associated vasculitis-like syndromes.

Recognizing the red flags can prevent diagnostic errors, unnecessary immunosuppression, and potentially life-threatening consequences.

Which vasculitis mimic have you found most challenging in clinical practice?

Infographic by Dr. Aravind Palraj

#Rheumatology #Vasculitis #ANCA #MedicalEducation #MedEd #FOAMed #InternalMedicine #Nephrology #ClinicalReasoning @IhabFathiSulima @docakx #AutoimmuneDisease #MedTwitter #RheumTwitter #MedX #Medicine #MedEdCommunity

[... not a word! @xAWord4U]

When the other person feels that freedom!
#love #freedom

[UK Health Security Agency @UKHSA]

🆕 A free 2-dose MenB vaccine will be available for a limited time from end of July.
Who can have it:
🏫 All current Year 13s
🧑‍🎓 Anyone either starting university as an undergrad or moving into further education halls for the first time in autumn 2026, aged under 25

[Islamic Motivational Quote Image @RoShZiMu]

𝕀𝕥'𝕤 𝔽𝕣𝕚𝕕𝕒𝕪
𝗝𝘂𝗺𝘂'𝗮𝗵 𝗶𝘀 𝗮 𝘄𝗲𝗲𝗸𝗹𝘆 𝗿𝗲𝗺𝗶𝗻𝗱𝗲𝗿 𝘁𝗵𝗮𝘁 𝗔𝗹𝗹𝗮𝗵 𝗴𝗶𝘃𝗲𝘀 𝘂𝘀 𝗰𝗵𝗮𝗻𝗰𝗲𝘀 𝗮𝗴𝗮𝗶𝗻 𝗮𝗻𝗱 𝗮𝗴𝗮𝗶𝗻.

[Mufti Menk @muftimenk]

Almighty. Heal and comfort us. Only You know our pain and understand our discomfort. Only You know our grief and sorrow. Only You know our loneliness and suffering. Restore us in every way and keep hope alive in our hearts. Aameen.

[Islamic Motivational Quote Image @RoShZiMu]

Alhamdulillah

[UK Health Security Agency @UKHSA]

We are seeing high numbers of Salmonella & Campylobacter cases in England. These stomach bugs cause symptoms like diarrhoea and vomiting. Read our blog to find more on:
🍽️ How they spread
🚽 Symptoms to look out for
🧼 Simple steps to reduce your risk
🔗 https://t.co/Gjuv9Yzwz0

[Mufti Menk @muftimenk]

Don't be overly sensitive and take things too personally. At times, people behave the way they do because of the burdens they’re carrying. Be kind. Try and put yourself in their shoes and empathize. If you can’t, be nice and don’t hurt them. You’ll have a more peaceful life.

[... not a word! @xAWord4U]

It's getting deducted all the time ...
#time #DaysCount

[MuslimMatters @MuslimsMatters]

Soon In’Sha’Allah

[Justin Grome @Justin_Grome]

It’s time to get clear about what you want.
It’s time to get clear about what you need.
It’s time to get clear about what you value.
It’s time to get clear about what you deserve.
It’s time to get clear about who you are.

[... not a word! @xAWord4U]

Clarity