Clinical Reasoning Expeditions
June 27, 2026
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Chief Concern
Polyarthralgia
Teaching Pearl
Endogenous causes of intermittent symptoms: Systemic FLOW related: 1)Endocrine 2) BLOOD related 3) Pipes: Vascular inv, +/- GI 4) Electric (Neurological: seizure, Arrhythmias) 5) OBGYN (Hormones are Cyclical!) is affected, making it intermittent
\DDx for walking up from sleep: 1. Sleeping disorder (OSA) 2. Breathing disorder (PND) 3. GERD (microaspiration)