72 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... mycobacterial), RA, crystal ... culture, look for crystals ... Like in this case ... psoriatic arthritis Crystals
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Differential Diagnosis Algorithm ... 4 tests for the ... AC joint: 1. ... after cross-arm test ... Differential #Diagnosis #Algorithm
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders ... Differential Diagnosis Algorithm ... Gout - Uric Acid Crystals ... Pyrophosphate Dihydrate Crystals ... Differential #Diagnosis #Algorithm
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... present both at rest ... improves quickly with rest ... inflammatory arthritides Crystal ... ochronosis and crystal
Synovial Fluid Analysis:

Findings (COLOR	TRANSPARENCY	VISCOSITY	WBC COUNT (PER MM3)	PMN CELL COUNT (%)	GRAM STAIN	CULTURE	PCR TEST	CRYSTALS)

By Condition (Normal 
Noninflammatory 
Inflammatory:
STAIN CULTURE PCR TEST ... CRYSTALS) By ... Arthrocentesis #Joint
Diarrhea - Differential Diagnosis Algorithm
Inflammatory
    - Invasive Infections
    - Non-Infections
Watery
Differential Diagnosis Algorithm ... Motility - VA Joint ... Differential #Diagnosis #Algorithm ... #causes
Pseudogout: pathogenesis and clinical findings
 - Idiopathic (vast majority of cases) -> Mechanism unknown
 - Familial
vast majority of cases ... dihydrate (CPPD) crystals ... from joints is ... x-ray - CPPD Crystals ... warm, swollen joint
Algorithm for the diagnosis of chronic diarrhea.
It is usually impractical to test and treat the many
Algorithm for the ... impractical to test ... many possible causes ... pick specific tests ... Chronic #Diarrhea #Algorithm
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
intracellular urate crystals ... pyrophosphate dihydrate crystals ... spondylitis - Sacroiliac joint ... of the affected joint ... • Sacroiliac joint
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... Differential Diagnosis Algorithm ... Oligoarticular (1-4 joints ... Differential #Diagnosis #Algorithm ... #Orthopedics #Causes