9 results
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
- Autoimmune Rheumatologic ... • SLE • Psoriatic ... Symmetrical: • RA • SLE ... #Diagnosis #MSK ... #rheumatology #
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
Rheumatoid Arthritis ... effusions, reduced ... narrowing) • Ultrasound ... Diagnosis: CLINICAL ... diagnosis #management #rheumatology
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Clinical Features ... Systemic Lupus (SLE ... 50%): Pleurisy / effusion ... of hip (rare), Arthritis ... symptoms #diagnosis #rheumatology
MCP Synovitis on Ultrasound
Young rheumatology patient. Florid synovitis of the MCP joint with effusion on dynamic
Young rheumatology ... with effusion on ... Synovitis #Metacarpal #MSK ... #Clinical #Joint ... #Effusion
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
showed effusion ... effusion. ... #Effusion #POCUS ... #clinical #ultrasound ... #MSK
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus
Clinical Domains:
 • Constitutional domain: Fever
 • Cutaneous domain: Non-scarring
Erythematosus Clinical ... cutaneous lupus • Arthritis ... in at least 2 joints ... or pericardial effusion ... Classification #Criteria #SLE
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... Non-autoimmune rheumatologic ... Lungs: • Pleural effusions ... : • Joint pain ... arthropathy • 90% joints
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
You see pus flowing ... to have septic arthritis ... University of Michigan Ultrasound ... #POCUS #clinical ... #ultrasound #msk
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
overlaps with RA, SLE ... salivary ducts Clinical ... thickening or effusion ... phenomenon (16%) MSK ... Arthralgia and Arthritis