Vasculitis Site Time questions Describe what happens Rate from 1 to 10. Context Any ideas Life changes Impact on life Does pain differ at different times throughout the day such as worse at night? Anything makes it worse Anything makes it better Associated features: Fatigue Weight loss Night sweats Fever Purpura Raynaud’s phenomenon Chest pain Conjunctival infection Extremity changes Swollen lymph nodes Visual changes Abdominal pain Blood in stools Urinary changes Swelling Medications history Prescription Non-prescription Past medical history Allergies and vaccinations Surgical history Family history Social history Diet Alcohol Recreational drugs Smoking Occupational Recent travel Sexual history Differentials Kawasaki’s disease Fever Conjunctival infection Oropharyngeal changes -> strawberry tongue Extremity changes Cervical lymph nodes Chest pain Hx of heart disease -> CAD, myocarditis, pericarditis Possibly driven by bacteria Raynaud’s phenomenon Buerger’s disease/thrombosis obliterans. Small to medium vessels Peripheral features -> PADs and amputation. E.g. digital ischemia Pain worse at night Raynaud’s phenomenon Arterial insufficiency Takayasu’s disease Affects large vessels e.g. the aorta and main branches. Ischemia especially with of the limbs and the central nerve system. Pulse discrepancy Absent pulses HTN Visual disturbances. Raynaud’s phenomenon IgA vasculitis Skin Joints Purpura Colicky abdominal pian Intussusception Hematochezia Melena Nausea Vomit Nephritic syndrome Leukocytoclastic vasculitis Necrotising vasculitis Stroke Arthritis Severe skin rash Changes in pupil size Loss of arm, leg or other body part function Speech problems Dysphagia Severe abdominal pain Cryoglobulinemia Fatigue Palpable purpura Raynaud’s phenomenon Polyneuropathy Glomerulonephritis