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Extra-articular and Other Conditions Associated with Joint Pain Eyes • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Bacterial or viral infection ... Heberden's nodes (DIP joints ... Bouchard's nodes (PIP joints ... differential #diagnosis #rheumatology
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Lyme), reactive arthritis ... SLE, psoriatic arthritis ... #Joint #Pain #MSK ... #rheumatology # ... differential #diagnosis #arthritis
Arthritis of the Hand - Arthritis Patterns Osteoarthritis: • Osteoarthritis of the hand usually involves the DIP and
the DIP and PIP joints ... MCP + 2nd PIP + all ... PsA, Sickle cell anemia ... sarcoidosis - affect all ... hand #diagnosis #rheumatology
Skin Conditions Associated with Joint Pain Rash • Human parvovirus B19 infection Malar rash • SLE • Human parvovirus B19 infection •
Associated with Joint ... parvovirus B19 infection ... Antiphospholipid-antibody syndrome ... #joint #pain #skin ... differential #diagnosis #rheumatology
Rheumatoid Arthritis - 2020 ACR-EULAR Classification ≥ 6 of 10 points = definite RA Joint Involvement:
Rheumatoid Arthritis ... - 2020 ACR-EULAR ... = definite RA Joint ... #Rheumatoid #Arthritis ... Classification #rheumatology
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
Joint Disorders ... • Reactive arthritis ... - (Reiter’s syndrome ... within 1 month of infection ... #Disorders #msk
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... with rheumatoid arthritis ... Acute or chronic infections ... #Pain #MSK #rheumatology
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm Peripheral Smear concerning for malignancy?
→ Refer to hematology ... hemolysis, deficiency anemia ... Inflammatory Conditions: Rheumatologic ... Kawasaki, Nephrotic syndrome ... Diagnosis #Algorithm #hematology
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Inflammatory Joint ... Genitourinary Infection ... Oligoarticular (1-4 joints ... Sicca) Syndrome ... Inflammatory #JointPain #MSK
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
Rheumatoid Arthritis ... involving small joints ... corticosteroid injections ... #Rheumatoid #Arthritis ... diagnosis #management #rheumatology
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