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diagnosis differential management pain workup approach rheumatoid causes comparison degenerative disease disseminated effusions gonococcal gonorrhea gout infection infectiousdiseases inflammatory jointdisease
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Approach to Joint ... Chronicity: • Acute ... ): • Septic joint ... #Joint #Pain #MSK ... #rheumatology #
Causes of Knee Effusions - Differential Diagnosis Framework Knee Effusion Red Flags: 1. Fever/Chills/Joint pain/Night sweats/Weight loss - DDX: -
Fever/Chills/Joint ... (28%) - Gm - bacilli ... 3%) - Gram + bacilli ... Reactive Syndrome - Acute ... differential #diagnosis #msk
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Approach to Joint ... pain from: • Joint ... categories of joint ... : • Acute or chronic ... #Pain #MSK #rheumatology
Rheumatoid Arthritis Summary Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders Signs & Symptoms:
of hands/feet, knees ... inflammatory) • joint ... • synovitis; joint ... tenderness • joint ... ideally limit for acute
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
and Degenerative joint ... Inflammatory Joint ... in Rheumatoid arthritis ... commonly affects the knee ... Comparison #Versus #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
Approach to Joint ... Gram-negative bacilli ... Joint #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Disseminated Gonococcal Infection - Diagnosis and Management Summary Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... an accessible joint ... the workup • Test ... afebrile • Acute ... , knees, wrists,
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... spondylitis - Sacroiliac joint ... of the affected joint ... for Acute Polyarthritis ... • Sacroiliac joint
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... forefoot, ankles, knees ... frequent attacks • Arthritis ... management #treatment #rheumatology
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