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diagnosis rheumatology differential management msk cppd joint workup approach calcium causes comparison deposition diarrhea disease erythematosus gout inflammatory jointpain lupus
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Inflammatory Joint Pain ... Differential Diagnosis Algorithm ... Monoarticular ... • Rheumatic Fever ... Acute Onset
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
• Rheumatic fever ... streptococci (rheumatic fever ... • SLE • Psoriatic ... Symmetrical: • RA • SLE ... #rheumatology #Monoarticular
Algorithm for the Evaluation of Acute Diarrhea (< 7 days) Are the following present? 1.
Algorithm for the ... Evaluation of Acute ... Ova and parasite ... fever, abdominal ... pain 3.
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint Pain ... rheumatic fever ... • Chronic - Think ... Joints Involved: Monoarticular ... = RA, SLE, psoriatic
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
Arthritis: Monarticular ... onset of swelling, pain ... Chronic CPP Crystal ... 12-24 Hours • Fever ... swelling, significant pain
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Arthritis Monoarticular ... onset of swelling, pain ... Chronic CPP Crystal ... monoarticular CPPD ... neck pain, fever
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
hypervitaminosis D) hyperphosphatemia ... General: fever, ... , cough, chest pain ... Extrapulmonary: ankle arthritis ... , fever, migratory
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
weight loss, and fever ... Classification: • Acute ... : • Joint pain ... , Fever, Serositis ... with Lupus: • Chronic
PFAPA Syndrome - Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Adenitis EPIDEMIOLOGY: PFAPA is the most common syndrome entailing
, nausea, diarrhea ... often paired with arthritis ... during attacks; arthritis ... during the acute ... syndrome - chronic
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