37 results
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... • Interstitial lung ... • Shrinking lung ... , Gonococcal arthritis ... #pain #differential
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
- Differential Diagnosis ... • Reactive arthritis ... • Psoriatic arthritis ... • Rheumatoid Arthritis ... should have other symptoms
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 ... oxalate Infectious Arthritis ... #diagnosis #arthritis
Reactive Arthritis
 • Inflammation of joints (commonly large joints)
    - Asymmetric Oligoarthritis: Joint
Reactive Arthritis ... pain in a few joints ... dysuria, pelvic pain ... pathophysiology #diagnosis #signs ... #symptoms
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Pain - Differential ... • Rheumatoid Arthritis ... • Systemic Lupus ... Asymmetric (Psoriatic Arthritis ... • Psoriatic Arthritis
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
• Gonococcal arthritis ... blennorrhagicum • Reactive arthritis ... • Psoriatic arthritis ... lesions • Discoid lupus ... #differential #
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
spondyloarthropathies, lupus ... Lyme), reactive arthritis ... SLE, psoriatic arthritis ... #Joint #Pain #MSK ... #diagnosis #arthritis
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
effusion, Restrictive lung ... of hip (rare), Arthritis ... lesions Abdominal pain ... erythematosus #signs ... #symptoms #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis ... • Reactive arthritis ... • Lyme arthritis ... #Arthritis # ... Joint #pain #Differential
Combination of Skin Findings and Arthritis in Pediatrics Patient - Differential Diagnosis
Malar rash: 
 • A
Skin Findings and Arthritis ... migrans: • Target sign ... Suggestive of Reactive Arthritis ... Suggestive of Reactive Arthritis ... #dermatology #arthritis