85 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
indolent infections (gonorrhea ... Lyme), reactive arthritis ... gout, pseudogout, gonorrhea ... SLE, psoriatic arthritis ... differential #diagnosis #arthritis
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... neuritis - Giant cell arteritis ... Heberden's nodes (DIP joints ... Bouchard's nodes (PIP joints ... Extrarticular #conditions #joint
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
Common Forms of Arthritis ... Acute Rheumatoid Arthritis ... in rheumatoid arthritis ... Chronic Rheumatoid Arthritis ... #Arthritis #Hands
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... • How many joints ... Oligoarthritis: • Gonorrhea ... • Neisseria gonorrhoeae ... (gonorrhea) •
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
diplococci Neisseria gonorrhoeae ... an accessible joint ... Painless) Purulent Arthritis ... oligoarthritis • Distal joints ... Gonococcal #Infection #gonorrhea
Reactive Arthritis
 • Inflammation of joints (commonly large joints)
    - Asymmetric Oligoarthritis: Joint
Reactive Arthritis ... Inflammation of joints ... commonly large joints ... Oligoarthritis: Joint ... Genitourinary tract -> Urethritis
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
the DIP and PIP joints ... the PIP and MCP joints ... but not the DIP joints ... 3rd MCP and PIP joints ... 5% of times Joint
Rheumatoid Arthritis - 2020 ACR-EULAR Classification
≥ 6 of 10 points = definite RA
Joint Involvement:
Rheumatoid Arthritis ... = definite RA Joint ... 2-10 large joints ... , +/- large joints ... #Rheumatoid #Arthritis
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 ... other inflammatory arthritides ... oxalate Infectious Arthritis
Rheumatoid Arthritis
Rheumatoid Arthritis (RA) is an inflammatory autoimmune condition. While chiefly thought of as a joint
Rheumatoid Arthritis ... Rheumatoid Arthritis ... thought of as a joint ... the MCP & PIP joints ... #msk #arthritis